Wiki fat necrosis following TRAM flap breast reconstruction

wdorian

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Any help on this would be appriciated. The dr. wants to use 19380 with 52 modifier. Here's the dictation:

we addressed her fat necrosis by making two stab incisions in the right breast medially in the area of the fat necrosis. We used an 18-gauge needle to create the puncture sites. We used a pickle fork to break up the necrotic area. We then held some pressure. The defects were closed with 6-0 nylon suture.
 
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