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Lipoma Removal

1.Anatomy
2.Medical necessity of Procedure
3.Procedure detail
4.Code selection criteria
5.Important Terminology 

1.Anatomy

A lipoma is a benign, slow-growing tumor made up of fat cells, typically found beneath the skin.

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2.Medical necessity of Procedure

A lipoma is a benign, slow-growing tumor made up of fat cells, typically found beneath the skin.

3.Procedure detail

Lipoma excision is a surgical procedure that involves the removal of soft tissue tumor (lipoma) either for cosmetic purpose or if it causing pain.

4.Code selection criteria

Lipoma removal is a surgical procedure to excise a lipoma, a benign (non-cancerous) fatty tumor, from under the skin. It is usually performed when the lipoma causes discomfort, pain, restricts movement, or for cosmetic reason.

The code selection is based on :

  1. Depth: Superficial / Subcutaneous /Sufascial.

  2. Measurement of lipoma 

5.Important Terminology

Tips: A provider excises a lipoma, a fatty tumor, with dimensions of 5.0 cm x 4.0 cm x 2.0 cm, from the patient’s back. The key to determining the correct code in this case is the excision's depth. Assuming that the depth is 2.0 cm, or 20 mm, which is greatly in excess of the skin's average thickness of 2 to 3 mm, you are justified to report 21931 instead of 11406, Excision, benign lesion including margins, except skin tag, unless listed elsewhere, trunk, arms or legs, excised diameter over 4.0 cm.

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Watch video of this procedure : https://www.youtube.com/watch?v=ffoKThdqo4I

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