tci General Surgery Coding Alert - 2014 Issue 5

Reader Question: Use Clues to Pick Tumor Excision Code

Question: How should I code the following case? Midline incision made 7.5 cm proximal to the xiphoid process. Fatty mass removed measuring 3 x 3 x 4.5 cm. Second fatty mass removed measuring 6.5 x 6 x 6.5 cm.   Tennessee Subscriber Answer: You should report the service as 49204 (Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter). Four pieces of information from the op note should help you choose this code: The procedure is within...

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