Although these tumors may be confined to a specific layer (for example, subcutaneous, subfascial), radical resection may involve removal of tissue from one or more layers. Radical resection of soft connective tissue tumors involves the resection of the tumor with wide margins of normal tissue. These tumors are usually benign, are often intramuscular, and are resected without removing a significant amount of surrounding normal tissue. These tumors are usually benign and are resected without removing a significant amount of surrounding normal tissue.Įxcision of fascial or subfascial soft tissue tumors involves the resection of tumors confined to the tissue within or below the deep fascia but not involving the bone.
#Icd 10 code soft tissue mass skin#
Definitions in the musculoskeletal system introductory guidelines describe excision of each type of tumor:Įxcision of subcutaneous soft connective tissue tumors involves the simple or marginal resection of tumors confined to subcutaneous tissue below the skin but above the deep fascia. Each pair of codes is differentiated by the tumor size. Yes, for each anatomic family of codes, two codes are available to report excision of subcutaneous soft tissue tumors, two codes for the excision of subfascial soft tissue tumors, and two codes for the radical resection of soft tissue tumors. See Table 1 for a list of all codes and their respective 2021 Medicare Physician Fee Schedule relative value units (RVUs). For example, code 22902, Excision, tumor, soft tissue of abdominal wall, subcutaneous less than 3 cm, can be found in the musculoskeletal system subsection for abdomen-excision. The codes are scattered throughout the musculoskeletal system subsection, with listings under each anatomical excision subsection. Are all soft tissue tumor excision codes located in one subsection of the CPT codebook? This column responds to these questions and offers clarity to coding confusion for this set of codes. More than 10 years later, however, questions continue to arise about appropriate code selection and separately reportable services. This effort resulted in extensive changes in the CPT 2010 Musculoskeletal System subsection, including 41 new codes, 53 revised codes, 7 deleted codes, and extensive guidelines to allow for more granular reporting of soft tissue tumor excision.
In December 2007, the American Medical Association Current Procedural Terminology (CPT*) Editorial Panel Soft Tissue Tumor Workgroup finalized a consensus proposal related to reporting excision of soft tissue tumors.
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