codedog
True Blue
I WANT to go with cpt code 11406 but something is telling me to use 27327. Also PATH REPORT SAID no skin is present with the specimen,but doc reports that lesion is just below the skin. Path report came back as a deep penetraing dermatofiboma-so would 27337 be the right the right choice?
POSTOPERATIVE DIAGNOSIS: Left thigh mass.
OPERATION: Excision of left thigh mass, 3 to 4 cm.
D.
ASSISTANT: None.
ESTIMATED BLOOD LOSS: Minimal.
LAP SPONGE AND NEEDLE COUNT: Correct.
PROCEDURE IN DETAIL:
After appropriate informed consent was signed, the patient was taken to the operating room, was transferred to the operating table, and underwent general anesthesia with successful endotracheal intubation. The area was prepped and draped in the normal fashion. The patient had been examined by me in the preoperative holding area. A time-out had been called to identify correct patient and correct procedure. Preoperative antibiotics were given prior to skin incision. Incision over the area was made in Langer's lines along the axis of around 4 to 5 cm. Dissection was carried out through the skin and subcutaneous tissue. The entire mass that appeared to be hard with surrounding fat was removed. Excellent hemostasis was noted to be obtained. The wound was closed with 3-0 Vicryl pop-offs and nylon for the skin. The patient tolerated the procedure well and was transferred to the recovery room in stable condition.
POSTOPERATIVE DIAGNOSIS: Left thigh mass.
OPERATION: Excision of left thigh mass, 3 to 4 cm.
D.
ASSISTANT: None.
ESTIMATED BLOOD LOSS: Minimal.
LAP SPONGE AND NEEDLE COUNT: Correct.
PROCEDURE IN DETAIL:
After appropriate informed consent was signed, the patient was taken to the operating room, was transferred to the operating table, and underwent general anesthesia with successful endotracheal intubation. The area was prepped and draped in the normal fashion. The patient had been examined by me in the preoperative holding area. A time-out had been called to identify correct patient and correct procedure. Preoperative antibiotics were given prior to skin incision. Incision over the area was made in Langer's lines along the axis of around 4 to 5 cm. Dissection was carried out through the skin and subcutaneous tissue. The entire mass that appeared to be hard with surrounding fat was removed. Excellent hemostasis was noted to be obtained. The wound was closed with 3-0 Vicryl pop-offs and nylon for the skin. The patient tolerated the procedure well and was transferred to the recovery room in stable condition.
