Lesions, and Masses, andTd Tumors – Oh M !!Oh My!! - AAPC
嚜燉esions, and Masses,
and
d Tumors
T
每 Oh My!!
M !!
Presented by:
Betty Johnson, CPC, CPC-I, CCS-P, PCS, CPC-H, RMC, CCP, CIC,
CPCD
and
d
Susan Ward, CPC, CPC-H, CPC-I, CPCD, CEMC, CPRC
1
1
Agenda
? CPT? GUIDELINES
? CPT? DEFINITIONS
? OP REPORT CASES
2
1
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
每 Primaryy
每 Secondary
每 In Situ
? Benign
? U
Uncertain
ce ta Behavior
e a o
? Unspecified Behavior
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2
Diagnosis Codes
? Mass
每 Painful?
? Tumor
每 Pathology Report
? Cyst
每 Type
? Melanoma
每 Melanoma InSitu
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ANATOMY
6
3
The rectus sheath, an
example of a fascia
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8
4
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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