drhoads
Guru
Procedure: Excisional bx of bilateral lower back masses. DX: Lipomas
Area was incised with a 15 blade and carried down through the subcutaneous fat with electrocautery. The mass was again palpated. Dissection was carried out onto the mass and it was then dissected from the surrounding tissues. The base of the mass was adherent to the posterior part of the pelvis. It was amputated with electrocautery. The right side was attended to first and after finished it was paced with a gauze. The left side was attended to in like fashion. Both sides were irrigated and fried. Hemostasis was achieved electrocautery. The deep tissues were reapproximated with 2-0 chromic interrupted fashion. The dermis was reapproximated with 3-0 Vicryl in interrupted fahion. The skin was reapproximated with 4-0 Monocryl in a running subcuticular fashion. The wounds were washed and dried and benzoin and steri-strips were applied.
I am looking at cpt 21931 LT and 21931 59-RT
Size of left =4.5 x 3 x 2cm
Size of right= 4.5 x 4 x 2cm
I always seem to question myself when it comes to these types of procedure. Code from the Integ. or Muscle???
Area was incised with a 15 blade and carried down through the subcutaneous fat with electrocautery. The mass was again palpated. Dissection was carried out onto the mass and it was then dissected from the surrounding tissues. The base of the mass was adherent to the posterior part of the pelvis. It was amputated with electrocautery. The right side was attended to first and after finished it was paced with a gauze. The left side was attended to in like fashion. Both sides were irrigated and fried. Hemostasis was achieved electrocautery. The deep tissues were reapproximated with 2-0 chromic interrupted fashion. The dermis was reapproximated with 3-0 Vicryl in interrupted fahion. The skin was reapproximated with 4-0 Monocryl in a running subcuticular fashion. The wounds were washed and dried and benzoin and steri-strips were applied.
I am looking at cpt 21931 LT and 21931 59-RT
Size of left =4.5 x 3 x 2cm
Size of right= 4.5 x 4 x 2cm
I always seem to question myself when it comes to these types of procedure. Code from the Integ. or Muscle???