physician performed bilateral nasal vestibuloplasty. the description reads:
a number 15 knife blade was used to excise the redundant skin that was causing obstructive changes in the nose, then the underlying lateralized cartilage was also excised. undermining performed. using 5-0 prolene the medial crura & middle crura of lower lateral cartliages were approximated to midline to reduce the lateral flaring & to allow approximation to prevent the obstructive contribution to vestibule. further excision of posterior aspects of incsions were made & sutures were used in a running interlocking fashion to reapproximate skin, pulled this superiorly allowed for narrowing of the columella which then opened the vestibule.
since no grafts and no osteotomies were performed, would 30465 still be approporiate for this procedure?
any responses are appreciated.
a number 15 knife blade was used to excise the redundant skin that was causing obstructive changes in the nose, then the underlying lateralized cartilage was also excised. undermining performed. using 5-0 prolene the medial crura & middle crura of lower lateral cartliages were approximated to midline to reduce the lateral flaring & to allow approximation to prevent the obstructive contribution to vestibule. further excision of posterior aspects of incsions were made & sutures were used in a running interlocking fashion to reapproximate skin, pulled this superiorly allowed for narrowing of the columella which then opened the vestibule.
since no grafts and no osteotomies were performed, would 30465 still be approporiate for this procedure?
any responses are appreciated.