KaylaRieken
True Blue
During a hydrocelectomy, provider noted a scrotal lipoma. He began to remove the lipomatous tissue by seperate out the cord structures. Once again this was quite difficult give the amount of inflammation,induration, and abnormal surgical plans given his previsou procedures. We were able to identify the vas deferens and utilizing the hemostat with genttle dissection we were able to dissect through several planes until we had what we believe were the core structures seperated from the mass of fat. Once we had done this, we did perform a few suture ligations with a 0 silk stitch and proceeeded to cut through with electrocautery, noting that hemostatis was pristine. We removed the majority of the fatty tissue, making sure to not take any of the fatty tissue surrounding the cord structures. With the majortiy of the fatty tissue removed and hemostatis pristine, we then returned the testicle into the scrotum and thoroughly irrigated everything out...........
close the dartos layer with a running 3-0 Vicryl stitch. The skin was closed with a running 4-0 Monocryl stitch.
Would I code this as a benign lesion removal (11420) or 55150? Or would this be something else?
close the dartos layer with a running 3-0 Vicryl stitch. The skin was closed with a running 4-0 Monocryl stitch.
Would I code this as a benign lesion removal (11420) or 55150? Or would this be something else?