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Cpt Excision Lipoma Buttock

Table of Contents AHIMA 2009 Audio Seminar Series er

..i .Clinical Diagnostic Information ...2 Anatomy of Skin and the Lesions That Develop Codes and Descriptions Procedure Description

Excision 4 Coding Instructions/Guidance ...

5-6 Assistant .

7 PCS ...

7 Outpatient Query Forms

Example .8 NCCI Manual

Excision of Lesions Sebaceous Cyst Codes and Descriptions

Pilonidal Cyst/Destruction Procedure Description

Pilonidal Cyst Procedure Description

Destruction ....11-12 Instruments Used in Destruction & Curettement Procedures Case Example #1 . Example #2 .14-15 Example #3 .16-17 Repairs 18-19 Laceration Repairs

Simple .19-20 Laceration Repairs

Intermediate ..

20-21 Laceration Repairs

Complex ...22-23 Extensive Unation ...Laceration Repairs

24-26 Medical Necessity .Flaps & Grafts .27-28Adjacent Tissue Transfers ....29-30 Assistant 30-31 NCCI Manual

31-32 Skin Grafts 33-3NCCI Manual

Skin Grafts ...

34-35 Case Study 1 ..

35-38 Case Study 2 ..38-40 Case Study 3 .
cpt excision lipoma buttock
.40-41 (CONTINUED) Procedure Coding for Skin Lesions and Lacerations

AHIMA 2009 Audio Seminar guidelines related to excision of skin lesions and treatment of lacerationsDiscuss challenging coding cases related to skin lesion excisions and lacerations repairs1 Todays review will be focused on the following topics:Excision Benign LesionsExcision Malignant LesionsPilonidalCystRepair Intermediate Complex Destruction Procedure Coding for Skin Lesions and Lacerations

AHIMA 2009 Audio Seminar of Skin and the Lesions That Develop5 CPTCodes and DescriptionsCode Range: Excision Benign LesionsExcision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less excised diameter 0.6 to 1.0 cmexcised diameter 1.1 to 2.0 cmexcised diameter 2.1 to 3.0 cmexcised diameter 3.1 to 4.0 cmexcised diameter over 4.0 cm Procedure Coding for Skin Lesions and Lacerations

AHIMA 2009 Audio Seminar Instructions/GuidanceFor excision of a benign or malignant lesionThe size of the lesion is determined by adding the size of the lesion at its widest to double the width of the narrowest margin; this size is determined prior to excisionThe incision size may be larger than the excised lesion and marginsTwo or more lesions may be removed as a single specimenThe surgeon must specify the size of the lesion and margins

CPTCoding Instructions/GuidanceIf an adjacent tissue transfer is used to close the defect, the excision of the lesion is not reported separately Simple closure is inherent to the procedure Intermediate or complex closures are reported separatelyWhen multiple lesions are excised, use a separate code for each lesion that is Within each anatomic site, combine

the similar repair lengthsProcedure Coding for Skin Lesions and Lacerations

AHIMA 2009 Audio Seminar 2000 pages 8-9Clinical Vignette #1 identifies use of CPTcodes 13132 and 13133Clinical Vignette #2 identifies use of CPTcodes 13101 and 13102November 2002 page 5Excision of skin lesionsMeasuring lesion excision -illustrationMeasuring lesions excisedChemosurgery -MohstechniqueMohsmicrographic surgeryAugust 2006 page 10Lipomaexcision from the right flankCoding Clinic for H
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