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Want to make sure I have this right , when physcian dictates 6 -mm , that means its 0.5 cm or less ? if so this means cpt code for this is
11640 173.3
15240-forehead flap ?
Would you agree with me ?if not help
PREOPERATIVE DIAGNOSES: Basal cell carcinoma of the tip of the nose, status post excision by dermatologist with positive margins.
POSTOPERATIVE DIAGNOSES: Basal cell carcinoma of the tip of the nose, status post excision by dermatologist with positive margins.
PROCEDURES PERFORMED: Re-excision basal cell carcinoma 6-mm at the dorsum of the nose and reconstruction with a full-thickness forehead flap.
OPERATIVE PROCEDURE: The patient was brought to the operating room and placed under adequate general endotracheal anesthesia. The head and neck were prepped with half strength Betadine and draped in a customary fashion.
The lesion, which was visible as a scar on the left side of the nasal tip was marked for excision with about 1-mm margin beyond the previous excision. This incision was removed with a 6-mm punch and tagged at 12 o’ clock and submitted to the lab. The pathologist said that he did not see any residual tumor in the specimen and a 6-mm punch was used to remove the donor site from the forehead just below the hairline. The graft was sewn into place with multiple 6-0 chromic sutures and the donor site was closed with 4-0 Prolene. Antibiotic ointment and bandages completed the closure. The patient tolerated the procedure well and was sent back to the recovery room in good condition.
11640 173.3
15240-forehead flap ?
Would you agree with me ?if not help
PREOPERATIVE DIAGNOSES: Basal cell carcinoma of the tip of the nose, status post excision by dermatologist with positive margins.
POSTOPERATIVE DIAGNOSES: Basal cell carcinoma of the tip of the nose, status post excision by dermatologist with positive margins.
PROCEDURES PERFORMED: Re-excision basal cell carcinoma 6-mm at the dorsum of the nose and reconstruction with a full-thickness forehead flap.
OPERATIVE PROCEDURE: The patient was brought to the operating room and placed under adequate general endotracheal anesthesia. The head and neck were prepped with half strength Betadine and draped in a customary fashion.
The lesion, which was visible as a scar on the left side of the nasal tip was marked for excision with about 1-mm margin beyond the previous excision. This incision was removed with a 6-mm punch and tagged at 12 o’ clock and submitted to the lab. The pathologist said that he did not see any residual tumor in the specimen and a 6-mm punch was used to remove the donor site from the forehead just below the hairline. The graft was sewn into place with multiple 6-0 chromic sutures and the donor site was closed with 4-0 Prolene. Antibiotic ointment and bandages completed the closure. The patient tolerated the procedure well and was sent back to the recovery room in good condition.
