I need help coding this question. could someone help me.

CPT CODE:__________________________
ICD-9-CM CODE:_____________________

Code the following
"You've started your first day at Venture Outpatient Surgery Center.
OPERATIVE REPORT:
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.

21931

im struggling with this also.

34287

what don't you answer the question....

whats the answer

Thanks

What is the answer? I think modifier's are added to the CPT code to include the sutures/strips

Add code 12032 for intermediate repair (closure)

what are ICD-10 codes for this

To code this operative report, you will need to identify the correct procedure and diagnostic codes. Let's begin by breaking down the information provided.

Preoperative Diagnosis: Left flank soft tissue mass
Postoperative Diagnosis: Left flank soft tissue mass
Surgeon: John Doe, DO

Operative indications: A soft tissue lesion in the left flank that was not consistent with a hernia. The patient understood and wished to proceed with the excision.

Operative Findings: A large soft tissue lesion measuring about 6 cm in greatest dimension.

Operative Procedure:
1. The patient was brought into the operating room after informed consent was obtained.
2. Sedation was administered using 1% lidocaine with epinephrine and sodium bicarbonate.
3. A 4 cm incision was made.
4. Sharp dissection was used to dissect around the soft tissue lesion.
5. The lesion was excised completely, using electrocautery for hemostasis.
6. Saline solution was used for irrigation.
7. Subcutaneous tissue was closed with 3-0 vicryl interrupted and running sutures.
8. The skin was closed in a subcuticular fashion using 4-0 vicryl sutures.
9. Steri strips were applied.

Based on this information, we can determine the following codes:

CPT Code: A CPT code that represents the excision of the left flank soft tissue mass with layered closure. Please note that the specific CPT code cannot be determined without further information.

ICD-10-CM Code: To transition from ICD-9-CM to ICD-10-CM, you'll need more specific information on the diagnosis. The report provided only mentions "left flank soft tissue mass." To code this accurately, you would need additional details regarding the location, nature, and any related findings or conditions.

Remember, accurate coding requires specific and detailed information pertaining to the procedure and diagnosis. The medical professional involved in the case should be consulted for further guidance to ensure accurate coding.