Lesions, and Masses, andTd Tumors – Oh M !!Oh My!!
Lesions, and Masses, and Tumors ? Oh My!!
Presented by:
Betty Johnson, CPC, CPC-I, CCS-P, PCS, CPC-H, RMC, CCP, CIC, CPCD and
Susan Ward, CPC, CPC-H, CPC-I, CPCD, CEMC, CPRC
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Agenda
? CPT? GUIDELINES ? CPT? DEFINITIONS ? OP REPORT CASES
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Definitions
? Cyst - a closed sac having a distinct membrane and developing abnormally in a cavity or structure of the body
? Dermatofibroma - a benign, chiefly fibroblastic nodule of the skin found especially on the extremities of adults
? Lipoma - a tumor of fatty tissue ? Neoplasm - a new growth of tissue serving no
physiological function
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Diagnosis Codes
? Malignant ? Primary ? Secondary ? In Situ
? Benign ? Uncertain Behavior ? Unspecified Behavior
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Diagnosis Codes
? Mass ? Painful?
? Tumor ? Pathology Report
? Cyst ? Type
? Melanoma ? Melanoma InSitu
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ANATOMY
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The rectus sheath, an example of a fascia
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CPT? Musculoskeletal
2010 Changes To 20000 Code Set ? 41 new codes ? 53 revised codes ? 7 deleted codes ? New guidelines for soft tissue and bone tumors
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CPT? Musculoskeletal
Excision of subcutaneous soft tissue tumors ? Simple & Intermediate repair bundled ? Confined to subcutaneous tissue below the skin, but
above the deep fascia ? Usually benign ? Code selection based on location and size of tumor ? Size determined by greatest diameter of tumor plus
most narrow margin necessary for excision
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