Medical Coding

Category - 20,000 Series

A 25-year-old obese male has had right-sided flank pain for about two months and noticed a lump during work one day. He initially thought it was a muscle spasm and ignored it, but it has increased in size and has gotten more painful. He went through a CT scan, which showed an intramuscular mass consistent to the physical exam that is approximately 6 cm in diameter. Due to the size and presentation, it was decided to excise the tumor. What is the correct code to use for this procedure?
  1. 21931
  2. 21932
  3. 21933
  4. 21935
Explanation
Answer: C - 21933 is correct for the excision of a tumor that is 6 cm and is an intramuscular tumor.
Code 21931 is incorrect because although the size is correct, this is not a subcutaneous tumor. Code 21932 is incorrect because the size is too small and 21935 is incorrect because this did not involve a radical resection.
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