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Reporting two excisions for a single cyst

Clifford Posted Sun 11th of July, 2010 23:15:41 PM

A small cyst on my chest was reported both as 14001, Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm, and 19120, Excision of cyst, fibroadenoma, or other benigh or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions.

I understand that 14001 includes excision. The physician's report says nothing about breast tissue. The physician's procedure note says that the incision went down to the subcutaneous tissue, and the mass extended deep into the tissues of the breast/chest wall. Does reporting of 2 excisions make sense?

SuperCoder Answered Mon 12th of July, 2010 07:24:13 AM

I dont think that you can report both these codes together, since CPT 14001 also includes excision of lesion. If the lesion is from the actual breast tissue, then 19120 and this code applies in cases when the surgeon removes only the tumor and no or very little margin. But if the lesion is from the skin of the breast then use one of the codes from 11400-11406 series. For wound closure code from the repair section.

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