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excision of umbilical mass

  1. #1
    Default excision of umbilical mass
    Medical Coding Books
    need help -2 coders conflict
    Doctor did a excisional biopsy of umbillical mass. path report came back as an umbilical scar -709.2- Done at an ASC -A curvilinear incision was made justbelow the umbilicus. Electoocautery was to dissent to the sub tissues down tothe fascia. The base of the umbilicus was dissected off of the abdominal wall. No mass identified AN attempt was made to evert the umbilicus. the distal half of umbilicus was then transected with electrocautery. Base was closed from the inside with 4-0 vicryl sutures where the umbilicus attached to the fascia was open for distance of approximately 1.5 to 2 cmm and finger intraperitoneally. AGAIN no mass identified. The fascia was closed with a 0 ethibond suture .hmm -
    Last edited by codedog; 08-13-2008 at 08:18 PM. Reason: miss

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