November 30, 2017
Can I also bill for the complex repair when I’ve also excised a soft tissue tumor like a lipoma in the 21552-21555 series of codes?
Actually CPT says these soft tissue tumor codes include the simple or intermediate repair and a complex repair may be separately reported. That said, Medicare and many other payors will not reimburse the code because they consider it to be a primary closure.
*This response is based on the best information available as of 11/30/17.