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Neurosurgery Coding Alert

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Evaluate the Closure with Craniectomy

Published on Mon Jun 04, 2012

Question: Our surgeon did the following procedure:PREOPERATIVE DIAGNOSIS: Right forehead skull mass 1.5 cm in diameter.PROCEDURE PERFORMED: Gross total resection 1.5 cm right frontal skull mass by neurosurgeon and plastics closure by plastic surgeon. INDICATION FOR PROCEDURE: The patient is a 58-year-old woman who has a cosmetically significant growing right forehead mass. It measured approximately 1.5 cm in diameter. CT scan revealed calcified right forehead mass on the outer table. Mass was affixed to the skull. She wished to have it resected. DESCRIPTION OF PROCEDURE: After being given general anesthesia the plastic surgeon prepped and draped the forehead. He performed plastics opening over the lesion. He removed the periosteum circumferentially from the lesion with periosteal elevators. Then the neurosurgeon used an osteotome to remove the lesion at the base from the anterior table of the skull. Furhter, the neurosurgeon used the Midas Rex drill to drill even where the calcified [...]
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