AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 1; Ask the Editor

Excision of Urachal Mass

A patient presents with urachal mass, and underwent laparoscopic excision of the mass. At surgery, the urachus was dissected off at the level of the umbilicus and then dissected off the anterior rectus sheath all the way down to the level of the bladder. The bladder was filled with fluid and electrocautery was used to transect the urachal mass at the bladder level. Both the urachal mass and urachus were removed. Since there is no body part for the urachus, is it appropriate to refer to the general anatomic region and assign the abdominal wall as the body part? ...

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