Forum - Questions & Answers

Oct 15th, 2010 - ASTOUGH 15 

Abdominal wall mass

A patient had an exploratory laparotomy and endometriosis was found that was fused to her abdominal wall. The doctor did an "excision of abdominal wall mass". How do I code this?

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Oct 15th, 2010 -

how about

49203-5? That is an endometrioma

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Oct 15th, 2010 - jschmutz   323 

Laparoscopy for excision of endometriosis

Was the excision of the endometriosis performed through with laparoscope or was it converted to an open procedure?

49203-49205 is for an open procedure.

If done laparoscopically, and this was of the abdominal wall and not of some other organ within the abdominal cavity, then look at:

58660 Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure)

or

49329 Unlisted laparoscopy procedure, abdomen, peritoneum and omentum

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