amwittler
Networker
Can you select 11771(extensive) by having documentation to support the layered closure or should I be looking for something else in the op report?
This is part of the op report and that path did come back as pilonidal cyst also---The full thickness of the skin and the entirety of the cyst was excised. The tissue was then closed in 3 layers, using running 2-0 PDS for the deep subcutaneous tissue and the superficial subcutaneous tissue, ensuring all dead space was closed down as the first two layers were reapproximated.
Per 3M Coding Reference
11770, the physician uses a scalpel to completely excise the involved tissue. The wound is sutured in a single layer. In 11771, an extensive sinus is present superficial to the fascia overlying the sacrum but with subcutaneous extensions. The physician uses a scalpel to completely excise the cystic tissue. The wound may be sutured in several layers.
This is part of the op report and that path did come back as pilonidal cyst also---The full thickness of the skin and the entirety of the cyst was excised. The tissue was then closed in 3 layers, using running 2-0 PDS for the deep subcutaneous tissue and the superficial subcutaneous tissue, ensuring all dead space was closed down as the first two layers were reapproximated.
Per 3M Coding Reference
11770, the physician uses a scalpel to completely excise the involved tissue. The wound is sutured in a single layer. In 11771, an extensive sinus is present superficial to the fascia overlying the sacrum but with subcutaneous extensions. The physician uses a scalpel to completely excise the cystic tissue. The wound may be sutured in several layers.