I'm having a disagreement with our facility coders regarding the excision of an inguinal lipoma. They've coded it using an integumentary code 11404. I've suggest either using CPT 22903 or an unlisted procedure (which I try not to use) because this was in the muskoskeletal system (soft tissue).
Benign lipomatous neoplasm of intra-abdominal organs 2016 2017 2018 2019 2020 2021 Billable/Specific Code D17.5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM D17.5 became effective on October 1, 2020.
We found a moderate-size cord lipoma, which we reduced out of the inguinal canal completely. We then turned our attention to the left side, again identifying superior pubic ramus. No overt direct hernia noted. No femoral hernia.
Benign lipomatous neoplasm of skin and subcutaneous tissue of trunk 1 D17.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 Short description: Benign lipomatous neoplasm of skin, subcu of trunk 3 The 2021 edition of ICD-10-CM D17.1 became effective on October 1, 2020. 4 This is the American ICD-10-CM version of D17.1 - other international versions of ICD-10 D17.1 may differ.
A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere.
Functional activity. All neoplasms are classified in this chapter, whether they are functionally active or not. An additional code from Chapter 4 may be used, to identify functional activity associated with any neoplasm. Morphology [Histology]
The Table of Neoplasms should be used to identify the correct topography code. In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes. Primary malignant neoplasms overlapping site boundaries.
The 2022 edition of ICD-10-CM D17.1 became effective on October 1, 2021.
A benign, usually painless, well-circumscribed lipomatous tumor composed of adipose tissue. Skin biopsy, diagnostic of pss: skin biopsy revealing increased compact collagen in the reticular dermis, thinning of the epidermis, loss of rete pegs, atrophy of dermal appendages, and hyalinization and fibrosis of arterioles.
A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere.
A benign neoplasm composed of adipose tissue. A benign tumor composed of adipose (fatty) tissue. The most common representative of this category is the lipoma. A benign tumor composed of fat cells (adipocytes). It can be surrounded by a thin layer of connective tissue (encapsulated), or diffuse without the capsule.