Posted by andrea on Friday, August 3, 2012 at 7:07pm.
I need help coding this question. could someone help me.
Code the following
"You've started your first day at Venture Outpatient Surgery Center.
Preoperative diagosis: Left flank soft tissue mass
Postoperative Diagnosis: left flank soft tissue mass
SURGEON; John Doe, DO
OPERATIONS: Excision of left flank soft tissue mass with layered closure measuring 4 cm, with margins,prior to excision.
ANESTHESIA: sedation with 1% lidocaine with epinephrine and sodium bicarbonate.
OPERATIVE INDICATIONS: this is a pleasant female who comes in with a soft tissue lesion in the left lank over what appeared to be a spigelian hernia site as well. However, it was not reducible and did not appear to be consistent with a hernia. consequently, the procedure, risks, benefits, and alternatives of excision of this lesion were discussed with the patient,and she understood and wished to proceed with the excision.
OPERATIVE FINDINGS: large soft tissue lesion measuring about 6 cm in greates dimension.
OPERATIVE PROCEDURE: the patient was brought into the operating room after informed consent was obtained. the patient then underwent sedation with a sterile prep and drape. we then anesthetized with 1% lidocaine with epinephrine and sodium bicarbonate, made a 4 cm incision, and used sharp dissection to dissect circumferentially around this soft tissue lesion, being careful to make sure that we were not entering any kind of hernia sac secondary to spigelian hernia. as we continued to dissect circumferentially around it without sharp dissection, it was noted that it did go down to a muscle but no evidence of hernia was identified. the lesion was excised in its entirety and electrocautery was used to control hemostasis. we then irrigated with saline solution and closed the subcutaneious tissue with 3-0 vicryl interrupted and running sutures. we then used 4-0 vicryl sutures to close the skin in a subcuticular fashion. benzoin and steri strps were then applied. blood loss was minimal. the patien tolerated the procedure well and remained in stable condition throughout the procedure.
- medical billing/coding - linda, Thursday, October 4, 2012 at 3:46pm
- medical billing/coding - chris ann, Tuesday, December 11, 2012 at 12:20am
im struggling with this also.
- medical billing/coding - Anonymous, Friday, December 28, 2012 at 7:09pm
- medical billing/coding - Anonymous, Sunday, January 13, 2013 at 1:15pm
what don't you answer the question....
- medical billing/coding - anonymuos, Saturday, May 18, 2013 at 9:03pm
whats the answer
- medical billing/coding - Anonymous, Wednesday, May 29, 2013 at 2:39pm
- medical billing/coding - Julie, Sunday, April 27, 2014 at 8:34pm
What is the answer? I think modifier's are added to the CPT code to include the sutures/strips
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