Excision of Abdominal Wall lipoma

colleene

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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...
 

b.cobuzzi

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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.
 

cmartin

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I would also say 1140x; if it requires layer closure, then you can add 1203x.
C.Martin
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