louise Posted Wed 10th of April, 2019 06:42:43 AM
-- 5.5x4.5 cm soft tissue mass overlying left mandible, appearance consistent with epidermal inclusion cyst
-- 3x3 cm soft tissue mass overlying right mandible, appearance consistent with epidermal inclusion cyst When coding this , how do I code for the measurement for the intermediate repair when measurement is not listed by physician ?
SuperCoder Answered Thu 11th of April, 2019 10:01:29 AM
Our team is working on it and will get back to you.
SuperCoder Answered Fri 12th of April, 2019 07:04:55 AM
The surgeon removes two epidermal inclusion cysts from the patient's left and right mandible area i.e. 5.5x4.5 cm and 3x3 cm, both of which require intermediate repair).
Because both repairs on the mandible are of the same type (intermediate) add the lengths together (5.5 + 3 = 8.5 cm) to select repair code. The combined size for both cysts will be 8.5 cm, so the appropriate CPT code for intermediate repair will be 12054 (Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm).