ggparker14
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Please help with CPTs. Thanks so much for any opinions.
procedures:
1. right ankle foot lesion excision, excised diameter 3.5 x 1.5 cm.
2. Mid back lesion excision, excised diameter 1 x 3 cm.
op note reads: The back lesion, which was approximately 11 x 13 mm, was marked and a planned elliptical incision, approximately 3 x 1 cm in diameter, was marked. Elliptical incision was made around the lesion and carried through the full thickness of the dermis to underlying healthy-appearing fatty tissue. Lesion was excised in its entirety and passed off the field for permanent pathology, after marking a single short suture in the superior area and a double-long suture in the left were undermined until the skin could be brought together without undue tension. The skin edges were reapproximated with deep dermal sutures of 3-0 Vicryl, followed by running subcuticular suture of 4-0 Monocryl.
An approximately 3.5 x 1.5 cm elliptical incision made in the vertical line of the foot was made around the lesion and carried through the full thickness of the dermis to underlying healthy-appearing fatty tissue. The lesion was excised in its entirety and marked with a single short suture in the distal area and a double-long suture in the lateral region. The wound bed was irrigated and hemostasis was achieved with spot cautery as needed. The skin edges wede reapproximated with deep dermal sutures of 3-0 Vicryl, followed by interrupted and vertical mattress sutures of 3-0 chromic externally. The wound was cleaned, dried, dressed with bacitracin ointment, followed by 4 x4 gauze.
procedures:
1. right ankle foot lesion excision, excised diameter 3.5 x 1.5 cm.
2. Mid back lesion excision, excised diameter 1 x 3 cm.
op note reads: The back lesion, which was approximately 11 x 13 mm, was marked and a planned elliptical incision, approximately 3 x 1 cm in diameter, was marked. Elliptical incision was made around the lesion and carried through the full thickness of the dermis to underlying healthy-appearing fatty tissue. Lesion was excised in its entirety and passed off the field for permanent pathology, after marking a single short suture in the superior area and a double-long suture in the left were undermined until the skin could be brought together without undue tension. The skin edges were reapproximated with deep dermal sutures of 3-0 Vicryl, followed by running subcuticular suture of 4-0 Monocryl.
An approximately 3.5 x 1.5 cm elliptical incision made in the vertical line of the foot was made around the lesion and carried through the full thickness of the dermis to underlying healthy-appearing fatty tissue. The lesion was excised in its entirety and marked with a single short suture in the distal area and a double-long suture in the lateral region. The wound bed was irrigated and hemostasis was achieved with spot cautery as needed. The skin edges wede reapproximated with deep dermal sutures of 3-0 Vicryl, followed by interrupted and vertical mattress sutures of 3-0 chromic externally. The wound was cleaned, dried, dressed with bacitracin ointment, followed by 4 x4 gauze.