Wiki Lesion Removal

lori85210

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This may sound silly but I read the report below and came up with 11443 but my provider states it should be 67412 because he went into the muscle. Please let me know who is right. :(

DX: Dermal inclusional Cyst. (per pathology report)

After the administration of anesthesia, the patient was
prepped and draped aseptically. Preoperative antibiotics were
administered. Incision was designed and executed after injecting Marcaine
with epinephrine. Incision was designed right next to the brow. Incision
was taken through the skin, subcutaneous tissue, and then through the
musculature. The mass was then encountered. Sharp and blunt dissection
was then performed to isolate the mass. We then went after the bottom of
it. It significantly indented the bone underneath. We then removed the
mass in its entirety. There was no full-thickness penetration. The wound
was copiously irrigated. It was a dermoid. The closure was then performed
with interrupted Vicryls in the muscle and dermis followed by absorbable
sutures in skin. Antibiotic ointment was applied. The patient's care was
turned over to Anesthesia. Lesion was 2.5 cm
 
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