How To Use CPT Code 21014
CPT 21014 describes the excision of a soft tissue tumor on the face or scalp that is subfascial (e.g., subgaleal, intramuscular) and measures 2 cm or greater. This code is used when a healthcare provider removes the tumor through a surgical procedure and submits it for laboratory analysis to rule out any cancerous condition. In this article, we will cover the official description of CPT code 21014, the procedure involved, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of when to use CPT 21014.
1. What is CPT Code 21014?
CPT 21014 is used to describe the excision of a soft tissue tumor on the face or scalp that is subfascial and measures 2 cm or greater. The procedure involves surgically removing the tumor and submitting it for laboratory analysis to ensure it is not cancerous.
2. Official Description
The official description of CPT code 21014 is: “Excision, tumor, soft tissue of face and scalp, subfascial (e.g., subgaleal, intramuscular) 2 cm or greater.” This code specifically refers to the excision of a subfascial tumor on the face or scalp that measures 2 cm or larger.
3. Procedure
The procedure for CPT code 21014 begins with the patient being appropriately prepped and anesthetized. The healthcare provider then makes a linear incision at the site of the tumor on the face or scalp. The incision is extended into the deep fascial layer to locate the tumor accurately. Once the tumor is well localized, the provider uses a sharp scalpel to dissect the tumor from the surrounding tissue margin. The tumor is then removed using surgical forceps. Finally, the incision is closed with sutures in a layered fashion.
4. Qualifying Circumstances
CPT 21014 is used when a soft tissue tumor on the face or scalp is subfascial and measures 2 cm or greater. The tumor must be benign, meaning it is noncancerous. The procedure is performed by a healthcare provider who is qualified to perform excisions and has the necessary expertise in removing soft tissue tumors.
5. When to Use CPT Code 21014
CPT code 21014 should be used when a healthcare provider performs the excision of a subfascial soft tissue tumor on the face or scalp that measures 2 cm or larger. It is important to note that this code should not be used for tumors smaller than 2 cm, as a different code (CPT 21013) should be used for those cases.
6. Documentation Requirements
To support a claim for CPT code 21014, the healthcare provider must document the following information:
– Patient’s diagnosis and the need for tumor excision
– Size and location of the tumor
– Date of the procedure
– Detailed description of the procedure performed, including the incision, dissection, and removal of the tumor
– Closure technique used
– Any complications or additional procedures performed
– Signature of the healthcare provider performing the procedure
7. Billing Guidelines
When billing for CPT code 21014, ensure that the excision is performed on a subfascial soft tissue tumor measuring 2 cm or greater on the face or scalp. It is important to report this code accurately and not to report it for tumors smaller than 2 cm. Additionally, be aware of any specific payer guidelines or modifiers that may be required for proper billing.
8. Historical Information
CPT code 21014 was added to the Current Procedural Terminology system on January 1, 2010. There have been no updates or changes to the code since its addition.
9. Similar Codes to CPT 21014
There are no similar codes to CPT code 21014.
10. Examples
Here are some examples of cases where CPT code 21014 should be billed:
1. A patient presents with a 3 cm subfascial soft tissue tumor on their scalp. The healthcare provider performs an excision of the tumor, ensuring complete removal.
2. A patient has a 2.5 cm subfascial soft tissue tumor on their face. The healthcare provider performs an excision of the tumor, taking care to remove it entirely.
3. A patient is diagnosed with a 4 cm subgaleal soft tissue tumor on their scalp. The healthcare provider performs an excision of the tumor, ensuring complete removal and closure of the incision.
In conclusion, CPT code 21014 is used to describe the excision of a subfascial soft tissue tumor on the face or scalp that measures 2 cm or greater. It is important to follow the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, and historical information when using this code. By accurately documenting and coding for this procedure, healthcare providers can ensure proper reimbursement for their services.
