Hi Connie, although abdominal surgery is not my specialty, I found your question to be a challenge, so here is my response and hopefully it will illicit a response from someone else either agreeing or disagreeing and providing more coding info....
I read the op note, I started with the code you provided, CPT 22905, Radical resection of tumor, soft tissue of abdominal wall; 5cm or greater....My first observation was there were no parenthetical statements directing you to any other coding scenerios; next, it has been my experience when radical resections are done the closure of the wound is inherent to the code, unless there is reconstruction/repair using specific types of flaps; advancing surrounding skin, tissue & muscle into the wound for closure is not separately billable; I read where your surgeon used mesh in the 5x5 cm defect and began to look under abdominal repair and found this statement: "With the exception of the incisional hernia repairs (see 49560-49566) the use of mesh or other prostheses is not separately reported". So with that statement, my response to you is that you cannot code separately for a reconstruction/repair, this is a wound closure; although you may consider addending a modifier 22 to CPT 22905 for increased procedural servics because the closure was complex and took more time.....just a suggestion.
Hope this helps,
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