Results 1 to 3 of 3

excision of dermal inclusion cyst code?

  1. #1
    Default excision of dermal inclusion cyst code?
    Medical Coding Books
    Hello everyone. I have a question that I know you all can help me with. I have an op note for excision of dermal inclusion cysts on the anterior trunk with layered closure x3. I was looking at 22900 but I think I need to stay in the int. section. Can I code for the removal and layered closure? How would you guys recommend coding?

    The op note reads as follows:

    The pateint was taken to the OR and placed in the supine position oundergoing anesthesia. The region was sterilely prepped and draped and anesthetized with .25% marcaine with epinephrine after which elliptical excision in oblique orientation was performed to minimize skin excision and tension of the wound. After excising the lesions, hemostasis was obtained with bovie electrocautery. The cavity was treated with betadine. 2-0 vicryl was used in the deep dermal layers to approximate the deep dermal layers and 3-0 monocryl was used to close the skin in subcuticular technique. Mastisol, steri-strips, and sterile dressings were placed. The patient was awakened from anesthesia and taken to the recovery room in stable condition.

    Path report says ruptered epidermoid cyst with acute and chronic inflammation. received in formalin is a 2.4 x 0.9 cm ellipse of skin excised to a depth of 0.7 cm. The epidermis is tan with 3 tan-grey raised papules which are separate and range from 0.2 x 0.2 x 0.1 cm to 0.4 x 0.4 x 0.1 cm.

  2. #2
    Albany, New York
    I would stay with the integumentary system, with an intermediate closure.
    Karen Maloney, CPC
    Data Quality Specialist

  3. #3
    Albany, New York
    Actually, after re-review, I don't think I would go with an intermediate closure.
    Karen Maloney, CPC
    Data Quality Specialist

Similar Threads

  1. Wiki epidermal inclusion cyst
    By jbrightw in forum Diagnosis Coding
    Replies: 0
    Last Post: 05-09-2012, 10:51 AM
  2. excision tympanic inclusion cyst
    By ASC CODER in forum Outpatient Facilities
    Replies: 2
    Last Post: 11-03-2011, 12:25 PM
  3. Excision of epidermal inclusion cyst on breast
    By codedog in forum General Surgery
    Replies: 1
    Last Post: 10-19-2010, 11:07 AM
  4. Excision of inclusion cyst
    By Trendale in forum General Surgery
    Replies: 2
    Last Post: 04-14-2008, 10:18 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.