Results 1 to 2 of 2

Axillary Arm Mass- ?

  1. #1
    Location
    NEW ORLEANS
    Posts
    954
    Default Axillary Arm Mass- ?
    Exam Training Packages
    I am stuck on this one . Would 24071 be the right code to choose from, or 1140x,doc office says use 11451 but I dont see Hidradenitis anywhere in this report. Axillary in this report is closest to arm according to notes. Path Report came back as a Lipoma. In path report it stated the skin ellipse measured 7.5 x5 cm and the fibrofatty tissue that measure 10 x 7 x4 cm. here is operative report

    PREOPERATIVE DIAGNOSIS: Right axillary mass.

    POSTOPERATIVE DIAGNOSIS: Right axillary mass.

    PROCEDURE PERFORMED: Excision of right axillary mass.

    PROCEDURE IN DETAIL: After adequate premedication, the patient was taken to the operating room and placed on the operating room table in a supine position. General anesthesia was administered. Right axillary area was prepped and draped in a sterile fashion. An elliptical incision was made encompassing the majority of the excess tissue. This was deepened down through to the axillary fascia, appeared to be only excessive axillary fat. Once the excision had been completed, the bleeding was controlled with a cautery. The wound was closed with 3-0 Vicryl on the deep tissues and subcuticular Monocryl on the skin. Blood loss was minimal. The patient tolerated the procedures and taken to recovery in stable condition.

    Thank you for your time , any feedback is appreciate trent

  2. #2
    Location
    Tacoma, WA
    Posts
    1,087
    Default
    Quote Originally Posted by trent123 View Post
    I am stuck on this one . Would 24071 be the right code to choose from, or 1140x,doc office says use 11451 but I dont see Hidradenitis anywhere in this report. Axillary in this report is closest to arm according to notes. Path Report came back as a Lipoma. In path report it stated the skin ellipse measured 7.5 x5 cm and the fibrofatty tissue that measure 10 x 7 x4 cm. here is operative report

    PREOPERATIVE DIAGNOSIS: Right axillary mass.

    POSTOPERATIVE DIAGNOSIS: Right axillary mass.

    PROCEDURE PERFORMED: Excision of right axillary mass.

    PROCEDURE IN DETAIL: After adequate premedication, the patient was taken to the operating room and placed on the operating room table in a supine position. General anesthesia was administered. Right axillary area was prepped and draped in a sterile fashion. An elliptical incision was made encompassing the majority of the excess tissue. This was deepened down through to the axillary fascia, appeared to be only excessive axillary fat. Once the excision had been completed, the bleeding was controlled with a cautery. The wound was closed with 3-0 Vicryl on the deep tissues and subcuticular Monocryl on the skin. Blood loss was minimal. The patient tolerated the procedures and taken to recovery in stable condition.

    Thank you for your time , any feedback is appreciate trent
    Based on the description, I vote for 24071. If you go with the 1140x series then you need to include a repair code cause it is a layered closure.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

Similar Threads

  1. Axillary Mass
    By Mklaubauf in forum General Surgery
    Replies: 8
    Last Post: 10-12-2016, 02:05 PM
  2. I&D axillary abscess---removal of axillary mass
    By AR2728 in forum General Surgery
    Replies: 3
    Last Post: 09-12-2016, 02:11 PM
  3. axillary mass / ??????????
    By codedog in forum Outpatient Facilities
    Replies: 0
    Last Post: 11-12-2010, 04:01 PM
  4. Axillary mass
    By codedog in forum Outpatient Facilities
    Replies: 4
    Last Post: 10-15-2008, 12:28 PM
  5. axillary mass
    By bwerner in forum General Surgery
    Replies: 2
    Last Post: 08-14-2008, 02:40 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?

Login

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.