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Old 09-11-2007, 04:36 PM
colleene colleene is offline
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Default Excision of Abdominal Wall lipoma

Any suggestions for an excision of an abdominal wall lipoma? The description for 22900 refers to "subfascial" - the MD indicates it was subcutaneous. We can't find another appropriate code...
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Old 10-15-2007, 07:16 PM
b.cobuzzi b.cobuzzi is offline
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If it was just subcutaneous, I would recommend 1140x depending on the size of the lipoma. If it was particularly deep, perhaps the op note may justify a 22 modifier for unusual and complicated.
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Old 02-06-2008, 03:56 PM
cmartin cmartin is offline
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I would also say 1140x; if it requires layer closure, then you can add 1203x.
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