• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below.
  • We're introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

Excision of gouty tophi

Kae Hunter CPC

Best answers
The doctor did an excision of gouty tophi and I am at total loss as exactly how to code this. The operative report says an incision was made over the elbow first, about 1 1/2 inch in length and carried deep to the level of the skin only. Excision was made of a fish eye portion of tissue and the gouty tophi was excised along with this. The gouty tophi were protruding through the skin and that area of skin protrusion of the tophi was excised. Closure by 4-0 PDS and staples for skin.