I need help finding the ICD-9-CM code for excision of left flank tissue mass. Layered closure measuring 4cm with margins prior to excision?

To find the ICD-9-CM code for excision of left flank tissue mass with layered closure measuring 4cm with margins prior to excision, you will need to follow these steps:

1. Determine the main procedure: The main procedure in this case is the excision of the left flank tissue mass. This involves surgically removing the tissue mass from the left flank area.

2. Identify the anatomical location: The anatomical location is the left flank, which is the area on the side of the body between the last rib and the top of the hipbone.

3. Consider the approach used: The question does not mention a specific approach or method used for the excision, so we can assume a standard surgical approach.

4. Determine the technique used: The question states that a layered closure was performed measuring 4cm with margins prior to excision. This means that after the tissue mass was removed, the wound was closed using layers of sutures, measuring 4cm in length. The margins were evaluated to ensure complete removal of the tissue mass.

Based on these factors, the ICD-9-CM code for excision of left flank tissue mass with layered closure would be:

ICD-9-CM code:
85.41 - Local excision or destruction of lesion or tissue of skin and subcutaneous tissue

This code covers the main procedure of excision and removal of tissue from the left flank area.

Please note that ICD-9-CM coding has been replaced by ICD-10-CM coding. It is essential to use the appropriate coding system for accurate and up-to-date medical coding.