How To Use CPT Code 23075

CPT code 23075 describes the excision of a soft tissue tumor from the subcutaneous tissue of the shoulder area, measuring less than 3 cm. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 23075?

CPT 23075 can be used to describe the excision of a soft tissue tumor from the subcutaneous tissue of the shoulder area, measuring less than 3 cm. This code is used when a healthcare provider removes an abnormal mass or tumor from the shoulder area and submits the specimen for analysis and diagnosis.

2. Official Description

The official description of CPT code 23075 is: ‘Excision, tumor, soft tissue of shoulder area, subcutaneous less than 3 cm.’

3. Procedure

The procedure for CPT code 23075 involves the following steps:

1. The patient is appropriately prepped and the area is anesthetized.
2. The healthcare provider makes an incision over the mass in the shoulder area.
3. Using microdissection, the provider excises the mass and a margin of surrounding tissue.
4. The excised specimen is submitted to a laboratory for analysis and diagnosis.
5. The provider irrigates the wound area and closes the incision with sutures.

4. Qualifying circumstances

CPT 23075 is used for patients who require the excision of a soft tissue tumor from the subcutaneous tissue of the shoulder area, measuring less than 3 cm. The procedure must be performed by a healthcare provider and the tumor must be located within the specified anatomical area.

5. When to use CPT code 23075

CPT code 23075 should be used when a healthcare provider performs the excision of a soft tissue tumor from the subcutaneous tissue of the shoulder area, measuring less than 3 cm. It is important to accurately measure the size of the tumor to determine if it meets the criteria for this code.

6. Documentation requirements

To support a claim for CPT 23075, the healthcare provider must document the following information:

• Patient’s diagnosis and the need for tumor excision
• Size of the tumor, confirming it is less than 3 cm
• Date of the procedure
• Details of the procedure, including the incision, excision, and closure
• Submission of the excised specimen for analysis and diagnosis
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 23075, ensure that the excision is performed by a qualified healthcare provider and that the tumor meets the size criteria of less than 3 cm. It is important to accurately code the procedure to ensure appropriate reimbursement. Additionally, be aware of the musculoskeletal codes that may be applicable if the incision goes deeper than the fascia.

8. Historical information

CPT 23075 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A healthcare provider excises a 2 cm soft tissue tumor from the subcutaneous tissue of a patient’s shoulder.
2. A surgeon removes a 1.5 cm mass from the subcutaneous tissue of a patient’s shoulder for further analysis.
3. A dermatologist performs the excision of a 2.5 cm tumor from the subcutaneous tissue of a patient’s shoulder, ensuring clear margins.
4. An orthopedic surgeon removes a 2.8 cm soft tissue tumor from the subcutaneous tissue of a patient’s shoulder, submitting the specimen for analysis.
5. A plastic surgeon excises a 2.2 cm mass from the subcutaneous tissue of a patient’s shoulder, closing the incision with sutures.
6. A general surgeon performs the excision of a 2.7 cm tumor from the subcutaneous tissue of a patient’s shoulder, ensuring complete removal.
7. An oncologist removes a 2.9 cm soft tissue tumor from the subcutaneous tissue of a patient’s shoulder, sending the specimen for pathological examination.
8. A surgical oncologist excises a 2.3 cm mass from the subcutaneous tissue of a patient’s shoulder, documenting clear margins.
9. A plastic surgeon performs the excision of a 2.6 cm tumor from the subcutaneous tissue of a patient’s shoulder, submitting the specimen for analysis.
10. An orthopedic surgeon removes a 2.4 cm soft tissue tumor from the subcutaneous tissue of a patient’s shoulder, ensuring complete removal.