Results 1 to 3 of 3

Inguinal Hernia and Lipoma Umbilicus

  1. #1
    Talking Inguinal Hernia and Lipoma Umbilicus
    Exam Training Packages
    Incision was carried down subcutaneous tissue, however, there was noticed approximately a 2cm lipoma just underneath the umbilical skin that was getting in the way of further dissection. with that in mind, it was dissected from the underlying umbilical skin down to the fascia. There was no real umbilical hernia per se. It was excised with cautery. closed with figure of eight suture. attention was then turned towards the mid line fascia and an incision was made incising the anterior rectus fascia over the muscle. A dissecting balloon was passed underneath the rectus muscle down to the pubis and inflated. using a 45 degree scope the anatomy was identified. a 5mm suprabubic port was placed below the umbilical balloon port were placed in the peritoneal space. dissection was made clear of the mid line pubic as well as the coopers ligament. Identified an indriect sac and the cord. It was dissected away from the cord structures and retracted laterally. then pretty much was sewed up....
    Can I code the Lipoma separate from the hernia repair? Suggestions on cpts?

  2. #2
    Milwaukee WI
    Default Sounds incidental to me
    It sounds incidental to me. Found as they were making their incision for inserting the port. They didn't make a separate incision for this.

    I would not code it.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Thanks! Of course it the dr. thinks it should be, but I agree

Similar Threads

  1. billing for inguinal hernia and spermatic cord lipoma
    By bench in forum Outpatient Facilities
    Replies: 13
    Last Post: 07-24-2015, 08:46 AM
  2. Bilateral lap inguinal hernia and open hernia repair
    By tlivengo in forum General Surgery
    Replies: 1
    Last Post: 04-23-2014, 10:58 AM
  3. Replies: 2
    Last Post: 05-17-2012, 12:37 PM
  4. Replies: 3
    Last Post: 05-10-2012, 08:08 AM
  5. lap Inguinal hernia w/ open umbilical hernia repair
    By ihaghighat in forum General Surgery
    Replies: 4
    Last Post: 09-30-2009, 06:55 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.