Coding Shoulder Melanoma


August 7, 2014


My doctor documented the following: Excision of a 1.5 cm melanoma from the shoulder with wide undermining to advance the tissues and a layered closure. Can we use an adjacent tissue transfer code, 14000, for this procedure?


No. “Wide undermining to advance tissues” is not an appropriate use of an adjacent tissue transfer code. Use a complex repair code (131xx) instead of the adjacent tissue transfer code; you may also report a CPT code for the skin lesion removal (e.g., 116xx).