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Excision of Abdominal Wall lipoma

  1. Default Excision of Abdominal Wall lipoma
    Medical Coding Books
    Any suggestions for an excision of an abdominal wall lipoma? The description for 22900 refers to "subfascial" - the MD indicates it was subcutaneous. We can't find another appropriate code...

  2. #2
    If it was just subcutaneous, I would recommend 1140x depending on the size of the lipoma. If it was particularly deep, perhaps the op note may justify a 22 modifier for unusual and complicated.

  3. Default
    I would also say 1140x; if it requires layer closure, then you can add 1203x.

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