The physician performed a laparoscopy for what he thought was an incisional hernia of previous c-section, after exam he found a mass (path came back as fat necrosis), no hernia was found. He excised the sub q mass with a scalpel. He proceeded with the laparoscopy and found no other abnormalities. Should this just be coded as a laparoscopic procedure turned to open, or would this justify coding 22903 and 49320 together? Any help on this one is appreciated!! Thanks