Does anyone know of a code that can be used for Excision of Chronic Sinus Tract of Buttock? At first I thought of using the 11770-2 but the doc said no that wasnt what he did.
Op note says: Patient placed supine under general endotracheal anesthesia. Placed in the lithotomy position. At the junction of the right buttock and perineum and to the right of the anus the chronic sinus tract was identified and had previously been marked. Area prepped and draped in normal sterile fasion. An elliptical incision was made to include the previous scar in the sinus tract. We then tracked that down all the way to the pelvic floor musculature. This included the entire sinus tract which clearly had some hypertrophic granulation tissue throughout. The wound was copiously irrigated and hemostasis assured. We then closed the deep tissues all the way up to the dermis with interrupted 3-0 Vicryl sutures. Steri-stripped skin and sterile dressing applied. Pt returned supine and awakened. Returned to recovery in stable condition. All counts correct.
Can anyone offer any suggestions??
Thanks!!!!!!
Op note says: Patient placed supine under general endotracheal anesthesia. Placed in the lithotomy position. At the junction of the right buttock and perineum and to the right of the anus the chronic sinus tract was identified and had previously been marked. Area prepped and draped in normal sterile fasion. An elliptical incision was made to include the previous scar in the sinus tract. We then tracked that down all the way to the pelvic floor musculature. This included the entire sinus tract which clearly had some hypertrophic granulation tissue throughout. The wound was copiously irrigated and hemostasis assured. We then closed the deep tissues all the way up to the dermis with interrupted 3-0 Vicryl sutures. Steri-stripped skin and sterile dressing applied. Pt returned supine and awakened. Returned to recovery in stable condition. All counts correct.
Can anyone offer any suggestions??
Thanks!!!!!!