Question

SURGEON: Gary Sanchez, M.D.

PREOPERATIVE DIAGNOSIS: 10 cm lipoma, right thigh

POSTOPERATIVE DIAGNOSIS: 10 cm lipoma, right thigh

PROCEDURE PERFORMED: Excision of 10 cm right thigh lipoma

INDICATIONS: Tyra Olsen is a very pleasant 32-year-old female, who presented with a large lipoma of her right thigh. She wants to have this resected. She understands the surgery and the risks of bleeding, infection, postoperative fluid collections and wishes to proceed.

PROCEDURE: The patient was brought to the operating room, given IV sedation and then prepped and draped with Betadine solution. The area was then anesthetized with a total of 40 cc of 0.5% Sensorcaine with epinephrine solution. A skin incision was made with a #15 blade, and the lipoma was resected sharply down into the soft tissue. Bleeding was controlled with the electrocautery, and then the subcutaneous was closed and then the skin was closed with subcuticular 4-0 undyed Vicryl. Steri-Strips and a sterile bandage were applied. She tolerated this well and was discharged home.
     Pathology Report Later Indicated: Lipoma, benign, thigh, soft tissue.

Need ICD 10, CPT, HCPCS

Answer 1

ICD 10 Code : D17.23 - Benign lipomatous neoplasm of skin and suncutaneous tissue of right leg.

CPT Code : 11400-11406. Excision of benign lesion of skin and suncutaneous tissue (knee or thigh)

HCPCS Code : J3490. Unclassified drug.