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Midabdominal mass

  1. #1
    Question Midabdominal mass
    Medical Coding Books
    Post Op: Fatty soft tissue mass, anterior abdomen; no evidence of fascial defect

    Path Dx: Lipoma (description does read soft tissue)

    Description of Procedure: Scalpel blade was used to make an incision through the skin and subcutaneous tissue through the old scar. Dissection was continued deeper hemostatically with cautery. The area of the mass was examined. There was noted to be a fatty mass consistent with lipoma. There was, however, no evidence of fascial defect and/or hernia. The fatty mass was carefully dissected free and sent for pathology.

    The description of 22900 in encoder pro reads "dissection exposes the affected muscle and tumor." Would this scenario be appropriate for 22900 or the 114xx codes?

  2. #2
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    Quote Originally Posted by bethieh View Post
    Post Op: Fatty soft tissue mass, anterior abdomen; no evidence of fascial defect

    Path Dx: Lipoma (description does read soft tissue)

    Description of Procedure: Scalpel blade was used to make an incision through the skin and subcutaneous tissue through the old scar. Dissection was continued deeper hemostatically with cautery. The area of the mass was examined. There was noted to be a fatty mass consistent with lipoma. There was, however, no evidence of fascial defect and/or hernia. The fatty mass was carefully dissected free and sent for pathology.

    The description of 22900 in encoder pro reads "dissection exposes the affected muscle and tumor." Would this scenario be appropriate for 22900 or the 114xx codes?

    Due to the depth of the incision/excision, I would go with 22900.

  3. #3
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    Thank You

  4. #4
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    Sorry, this is so late. If you have access to CPT assistant, this exact problem is discussed in the August, 2006 issue. Basically, if it is in the deep subcutaneous tissues, or subfacial, submuscular; use the musculoskeletal code. Your case sounds like the 22900 would be more appropriate.

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