AAPC - Back to school
Results 1 to 3 of 3

Thread: Pelvic Mass Excision

  1. #1

    Question Pelvic Mass Excision

    AAPC: Back to School
    Help!!!! I am stumped on this one. The patient underwent Abdominal exploration with enterolysis for a small bowel obstruction, apon exploration the surgeon found a pelvic mass. OP report reads as follows:

    On inspection of the pelvis there was a round fatty mass, approximately 5x7 cm, well circumscribed, adjacent to and on top of the vaginal cuff. This was excised in its entirety.

    Does anyone have any suggestions on the correct way to code this?
    Sonja Little, CPC

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default 49204?

    I could be WAY off here, but ...

    49204 The physician removes or destroys intraabdominal tumors, cysts, or endometriomas (displaced endometrial tissue) or primary or secondary mesenteric, peritoneal, or retroperitoneal tumors. The physician makes a large incision extending from just above the pubic hairline to the rib cage. The growths are removed using a laser, electric cautery, or a scalpel. The incision is closed with sutures. Report 49203 when the diameter of the largest tumor is 5 cm or smaller, 49204 when the diameter is 5.1 to 10 cm, and 49205 when the diameter is larger than 10 cm.

    Your op report is SOooo brief! But I'm thinking this is what was being excised.
    Do you have access to the pathology report?

    I would NOT code the enterolysis or exploration.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3

    Default THanks

    That was one of the codes I was looking at. Just need some more opionions.
    Sonja Little, CPC

Similar Threads

  1. Attempted resection pelvic mass
    By sidney01@roadrunner.com in forum Urology
    Replies: 4
    Last Post: 05-01-2015, 02:22 PM
  2. lap: pelvic mass
    By daniel in forum General Surgery
    Replies: 2
    Last Post: 01-23-2014, 05:13 PM
  3. Biopsy of pelvic mass
    By PeggySanders in forum General Surgery
    Replies: 0
    Last Post: 02-28-2013, 09:21 AM
  4. code for excision of pelvic mass
    By Rgreen0118 in forum General Surgery
    Replies: 0
    Last Post: 10-29-2010, 09:39 AM
  5. Pelvic mass
    By Rgreen0118 in forum OB/GYN
    Replies: 0
    Last Post: 10-04-2010, 10:38 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.