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Wiki Cardiac mass/lipoma coding dilemma

HeidiLeeCrawford

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Hello, everyone!
I have an General Internal Medicine report in which the primary diagnosis is Endocardial mass found using a transesophagel echocardiogram with left atrial lipomatous serum. And I am completely stumped on how this may be coded because I cannot find a specific code for a cardiac mass or lipoma. I have been tossing around several of the codes I have listed below. But I am not sure which one would be the most correct because he doesn't specifically say lipoma, just lipoma serum. Can I assume it is a lipoma just from the serum description? Does anyone have any idea of what would be most appropriate?


D17.79 Benign lipomatous neoplasm of other sites.
R93.1 Abnormal findings on diagnostic imaging of heart and coronary circulation
R22.2 Localized Swelling,mass, and lump, trunk


I appreciate everyone's help!
 
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