Cpt code soft tissue mass
![cpt code soft tissue mass cpt code soft tissue mass](https://slideplayer.com/slide/11978730/68/images/35/But+wait…+code+this+one!+Question+–+what+CPT+codes+best+describe+these+two+tumor+sections.jpg)
Removal of benign skin lesions that do not pose a threat to health or function is considered cosmetic and as such is not covered by the Medicare program.
![cpt code soft tissue mass cpt code soft tissue mass](https://i3.ytimg.com/vi/WVLTPdGl3WU/hqdefault.jpg)
This policy does not address routine foot care or the treatment of other skin lesions, e.g., ulcers, abscess, malignancies, dermatoses or psoriasis.īenign skin lesions are common in the elderly and are frequently removed at the patient’s request to improve appearance. The treatment of actinic keratosis is covered by NCD 250.4. This policy applies to the following: seborrheic keratoses, skin tags, milia, molluscum contagiosum, sebaceous (epidermoid) cysts, moles (nevi), acquired hyperkeratosis (keratoderma) and viral warts (excluding condyloma acuminatum). Otherwise it is not needed.Ĭoverage Indications, Limitations, and/or Medical Necessity According to CMS, there must be a NCCI procedure to procedure (PTP) edits, which in this case there is, to require a modifier. 11400 is mutually exclusive to the 17110 which documentation of both procedures will support reporting both codes with the appropriate modifier.
![cpt code soft tissue mass cpt code soft tissue mass](https://docplayer.net/docs-images/49/17590447/images/page_1.jpg)
If a dermatologist performs an excision (11400) with benign lesion destruction (17110), both codes are reportable and a modifier will be necessary to “bypass” the edit. If a claim is filed, ICD-9 CM code V50.1 (Other plastic surgery for unacceptable cosmetic appearance) should be used in conjunction with the appropriate procedure code Procedure codes 11400-11446 should be used when the excision is a full-thickness (through the dermis) removal of a lesion, including margins, and includes simple (non-layered) closure.Ĭlaims for removal of benign skin lesions performed merely for cosmetic reasons may not necessarily need to be submitted to Medicare unless the patient requests that a formal Medicare denial is issued. 11400- Excision, benign lesion, except skin tag (unless listed elsewhere), trunk, arms or legs lesion diameter 0.5 cm or less – average fee payment – $130 – $140ġ1401 Excision, benign lesion, except skin tag (unless listed elsewhere), trunk, arms or legs lesion diameter 0.6 to 1.0 cmġ1402– Excision, benign lesion, except skin tag (unless listed elsewhere), trunk, arms or legs lesion diameter 1.1 to 2.0 cmġ1403 Excision, benign lesion, except skin tag (unless listed elsewhere), trunk, arms or legs lesion diameter 2.1 to 3.0 cmġ1404 Excision, benign lesion, except skin tag (unless listed elsewhere), trunk, arms or legs lesion diameter 3.1 to 4.0 cmġ1406 xcision, benign lesion, except skin tag (unless listed elsewhere), trunk, arms or legs lesion diameter over 4.0 cm