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Excision that has been confused!

  1. Default Excision that has me confused!
    Medical Coding Books
    Just hoping for some feedback. Preop dx is for mass, postop is for presumptive neuroma, but the pathology came back as BENIGN SCHWANNOMA, MEASURING 2.5X2.5X2 CM. One coder suggested using 64774 (excision of neuroma)! Argh. LOL

    Scrubbed op report:

    Mass posterior calf.

    Presumptive neuroma sural nerve.


    ... Incision was made over this mass. We dissected it out. It looked like this was about a 2 cm mass that came off of the sural nerve. We skeletonized it and removed the neuroma in its entirety but left the nerve intact. At this point we replaced the nerve back within the area of the leg and then closed with deep sutures of 4-0 Vicryl followed by running subcuticular suture of 4-0 Vicryl augmented with one interrupted mattress suture. The patient tolerated the procedure quite well.
    Last edited by ksb0211; 02-23-2011 at 01:12 PM. Reason: mistype

  2. #2
    I agree that code 64774 could be used for the procedure described.

  3. #3
    I also agree with the code 64774
    Deb, CPC

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