Medical Coding

Category - 50,000 Series

A middle-age man needs to have a complete adrenalectomy with excision of an adjacent retroperitoneal tumor. His surgeon plans to use a transabdominal approach to perform this procedure and will take biopsies of the surrounding tissue.
  1. 60540
  2. 60545
  3. 60650
  4. 60659
Explanation
Answer: B - 60545 is the correct code for a partial or complete adrenalectomy with excision of an adjacent retroperitoneal tumor. This code can be used with or without biopsy. Surgery can be performed using multiple approaches including transabdominal, lumbar, or dorsal.
Code 60540 is incorrect because this procedure is not just for the adrenalectomy, it also needs to include the excision of the tumor. Codes 60650 and 60659 are incorrect because both of these codes are for laparoscopic procedures.
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