2025 ICD-10-CM code D17.2
(Active) Effective Date: N/A Benign neoplasms - Benign lipomatous neoplasm of skin and subcutaneous tissue of limb Chapter 2: Neoplasms Feed
Benign lipomatous neoplasm (lipoma) of the skin and subcutaneous tissue of the extremities.
Medical necessity for removal is based on factors such as pain, functional impairment, cosmetic concerns, or diagnostic uncertainty.Documentation must clearly support the need for intervention beyond observation.
Diagnosis is typically based on clinical presentation and physical examination.Imaging studies (ultrasound, MRI) may be used to confirm the diagnosis or rule out other conditions.The physician is responsible for evaluating the size, location, and any associated symptoms to determine the appropriate treatment plan, which may range from observation to surgical removal for cosmetic reasons, symptomatic relief, or diagnostic confirmation.
In simple words: A lipoma is a lump of fat under your skin, usually on your arms or legs. It's not cancer and is generally harmless. It feels soft and rubbery, and you can usually move it around.Lipomas grow slowly and rarely cause pain unless they press on a nerve. Sometimes they might need to be removed if they get too big or bother you.
A benign lipomatous neoplasm (lipoma) is a noncancerous tumor composed of mature fat cells. It typically presents as a soft, mobile, and painless mass located in the subcutaneous tissue of the extremities.Lipomas are usually slow-growing and well-encapsulated. The enclosing capsule is made of fibrous tissue. While usually asymptomatic, larger lipomas can cause discomfort or pain if they compress nerves or restrict movement.
Example 1: A 35-year-old patient presents with a small, painless, mobile mass on the forearm. Physical examination suggests a lipoma.The patient is reassured and elects to monitor the lesion., A 50-year-old patient has a large lipoma on the thigh that is causing pain and interfering with mobility. Surgical excision is recommended and performed., A 40-year-old patient presents with multiple lipomas on the back. The patient is concerned about their cosmetic appearance and undergoes liposuction for removal.
Documentation should include the location, size, and characteristics of the lipoma, as well as any associated symptoms.If imaging studies are performed, the results should be documented. The rationale for treatment decisions, including observation versus removal, should also be noted.
- Payment Status: Active
- Specialties:Family Medicine, General Surgery, Dermatology, Plastic Surgery, Orthopedic Surgery
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center