AAPC - Back to school
Results 1 to 7 of 7

Thread: Mass excision without a mass found

  1. #1

    Default Mass excision without a mass found

    AAPC: Back to School
    The patient was brought to the operating room, where after identification of the patient and planned , general anesthesia was induced and the right lateral thigh was prepped and draped in sterile fashion longitudinal incision was made over the previously marked area and carried down through superficial fat to the investing fascia of the thigh. Somewhat thin and attenuated but not otherwise abnormal. As it was opened the muscles of the lateral aspect of the anterior thigh are exposed but there is no evidence of any tumor mass, lipoma, or other soft tissue abnormality in the area there extensive dissection is carried deeply into the thigh all the way to to the level of the femur and no abnormal masses identified, only normal appearing muscle in the area. Several repeated evaluations of this area failed to reveal any evidence of tumor, so by way of explanation, the mass apparently is formed by either a torn tendon of the vastus lateralis muscle, or herniation of the muscle through the deep fascia. The latter possibility in mind, both edges of the fascia were mobilized and closed with mattress sutures of heavy Vicryl. Subcutaneous tissue and skin are then closed with fine absorbable suture and a sterile pressure dressing was applied. No attempt was made to resect any of the prominent muscle, because it all looks quite normal and further evaluation is probably necessary before any extensive resection is undertaken. The patient was then awaken from anesthetic having tolerated the procedure well. Estimated blood loss was minimal and there no intraoperative complications. She was sent to recovery room in satisfactory condition.

    How do you code an excision of a mass without a mass?? there isn't any pathology either.

  2. #2


    some input???

  3. #3


    I was going to code the intermediate closure but I still need to query the dr. on the size of the incision.

    Anyone else have thoughts on this.....?

  4. #4
    Join Date
    Apr 2007
    Denver CO


    When you consider what the actual surgical procedure was....an incision into the thigh vs the intended mass excision, then might you be looking at 27305? Indeed, code your closure as well. Any other thoughts out there?

  5. #5


    He did not release the iliotibial band He explored and dissected?? and there is not a diagnosis for any pathology?

  6. #6
    Join Date
    Apr 2007


    Not my area but what about 27025?

    Sorry not more help,

    Laura, CPC, CPMA, CEMC

  7. #7


    not payable in an asc.....

Similar Threads

  1. Excision of Mass - Do I have a billable procedure
    By raidaste in forum Orthopaedics
    Replies: 0
    Last Post: 10-02-2012, 02:05 PM
  2. Flank mass vs Abdominal wall mass
    By codedog in forum General Surgery
    Replies: 2
    Last Post: 04-25-2012, 10:07 AM
  3. excision of mass
    By lindacoder in forum General Surgery
    Replies: 0
    Last Post: 07-18-2011, 11:43 AM
  4. Fetus with pelvic mass found on ultrasound
    By jdd111168 in forum OB/GYN
    Replies: 2
    Last Post: 05-07-2009, 09:19 AM
  5. Excision Mass
    By Trendale in forum General Surgery
    Replies: 9
    Last Post: 10-21-2008, 12:20 PM

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.