BFAITHFUL
Expert
I need help with the following: I don't think it's clear on the location (depth) of the mass which according to the path. report it's a lipoma, if it's located in the skin then i know it's an integemuntary code, if mass is located in the subq tissue then i know to go with the musculoskeletal codes and there's no size!
DX: neck mass
Path results: Lipoma
We used a 15 blade scalpel and created a transverse incision across the neck and then carried this down by electrocautery circumferentially around the mass, which was then excised and blocked. This was then sent off for permanent section. We then irrigated the area making sure hemostasis was controlled with bovie electrocautery. Once hemostasis was controlled, we used 0-Vicryl to approximate the subcutaneous tissues. We then used 4-0 Monocryl to approximate the skin edges. We then cleansed and dried the skin and placed derrmabond.
DX: neck mass
Path results: Lipoma
We used a 15 blade scalpel and created a transverse incision across the neck and then carried this down by electrocautery circumferentially around the mass, which was then excised and blocked. This was then sent off for permanent section. We then irrigated the area making sure hemostasis was controlled with bovie electrocautery. Once hemostasis was controlled, we used 0-Vicryl to approximate the subcutaneous tissues. We then used 4-0 Monocryl to approximate the skin edges. We then cleansed and dried the skin and placed derrmabond.