Question

A provider extracts a tumor, using a frontal approach, from the lacrimal gland of a 14 year-old patient. What CPT® and ICD-10-CM codes are reported?

Answer 1

For the procedure described, the CPT code would be specific to lesion excision of the lacrimal gland (possibly 68110 or 68115), and the ICD-10-CM code for the diagnosis would be D31.6 for a benign neoplasm of the lacrimal gland.

Step-by-step explanation:

The question pertains to the correct medical coding for a procedure involving the removal of a tumor from the lacrimal gland using a frontal approach. For this surgical procedure, the relevant CPT (Current Procedural Terminology) code would depend on the specific details of the surgery, such as whether it was excisional or non-excisional.

However, without those details, a general code that might apply is 68110 or 68115 for excision of a lesion of the lacrimal gland. The ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) code specifies the diagnosis, in this case, a tumor of the lacrimal gland, which would be coded as D31.6 - Benign neoplasm of lacrimal gland.