re: Inguinal Hernia repair and spermatic cord lipoma Would it be appropriate to report code 55520, Excision of lesion of spermatic cord (separate procedure), in addition to an inguinal hernia repair code (eg, 49505)? Code 55520, Excision of lesion of spermatic cord (separate procedure), is designated as a "separate procedure."
When a physician performs a hernia repair (usually an inguinal hernia) procedure at the same time as the excision of a lesion (usually a lipoma) from the spermatic cord (same surgical case), report CPT code 55520 with modifier -59 because the 2010 CPT Manual designates this as a separate procedure.
Benign lipomatous neoplasm of spermatic cord 2016 2017 2018 2019 2020 2021 Billable/Specific Code Male Dx D17.6 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 D17.6 became effective on October 1, 2020.
At the time of the hernia repair, any lesions identified on the spermatic cord can also be excised. Thus, excision of a spermatic cord lesion is considered a component of the comprehensive hernia repair procedure.
D17.6ICD-10-CM Code for Benign lipomatous neoplasm of spermatic cord D17. 6.
A lipoma of the cord is herniated fat that appears to originate from the retroperitoneal fat outside and posterior to the internal spermatic fascia and protrudes through the internal ring lateral to the cord. They are generally not visible by transperitoneal inspection unless manually reduced.
D17.5Benign lipomatous neoplasm of intra-abdominal organs D17. 5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM D17. 5 became effective on October 1, 2021.
If the lipoma were located superficially, the removal of the lipoma would be coded to excision of a benign lesion. The appropriate code would fall into the CPT code range 11400-11446 based on location and size of the lipoma removed.
Lipomas of the cord (in men) and round ligament (in women) represent a simple protrusion (or herniation) of pedunculated extra-peritoneal fat through the inguinal canal. They are quite common and since their blood supply originates from the preperitoneal space, can be simply reduced without the need to be excised [1].
Lipomas are most often confused with another “lump” that can occur on the abdomen called a hernia. A hernia is just a hole in the connective tissue that lies underneath the skin. Contents of the abdomen— fat, intestines, etc. —can protrude through that hole and cause a lump.
ICD-10-CM Code for Benign lipomatous neoplasm of intra-abdominal organs D17. 5.
A lipoma is a slow-growing, fatty lump that's most often situated between your skin and the underlying muscle layer. A lipoma, which feels doughy and usually isn't tender, moves readily with slight finger pressure. Lipomas are usually detected in middle age. Some people have more than one lipoma.
A lipoma is a non cancerous (benign) lump that forms due to an overgrowth of fat cells. You can get a lipoma anywhere on the body where you have fat cells. Lipomas are not cancer. Cancerous tumours of the fat cells are called liposarcomas.
A lipoma or preperitoneal fat that is within the hernia sac or part of the hernia repair would not be separately reported. Code 55520, Excision of lesion of spermatic cord (separate procedure), is a “separate procedure.”
Per the American College of Surgeons you should use the Thorax 21555 - 21554 for the Axilla.
Finally, for removal of a nuchal lipoma from deep, subfascial or submuscular tissues, use 21556, “Excision tumor, soft tissue of neck or thorax; deep, subfascial, intramuscular.”
Procedure code 55520 is a (Seperate Procedure) code and would be considered bundled with the hernia code. The surgeons I code for also do these procedures but we can only bill for the hernia...Hope this helps..
The cord structures were carefully isolated at the pubic tubercle and a penrose drain was passed around them. A cord liipoma was carefully isolated from the cord structures and was ligated and excised. The hernia sac was separated from the cord structures. The hernia was found to be reducible...ect.
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.
The 2022 edition of ICD-10-CM D17.1 became effective on October 1, 2021.