shepherddl
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Can't decide which CPT code would work best for this amb. surgery.
Your thoughts?
% Lidocaine with Epinephrine was infiltrated to ensure regional anesthesia. After this was done a 15 blade scalpel was used to make a skin incision over the palpable abnormality. The deep dermis was divided sharply with cautery until subcutaneous tissues were identified. There is an area of significant hardness associated with the area. Subsequently flaps were created cephaladly and caudally and medially and laterally to dissect out the area of the palpable abnormality. It felt like calcified subcutaneous tissues. This was removed sharply with cautery. The remaining subcutaneous tissues all appeared soft and were palpably normal. A 2 cm incision was made in order to facilitate this. The wound was irrigated with 200 ml of sterile Saline. Subcutaneous tissues were reapproximated with interrupted stitches of 3 O-Vicryl. The deep dermis was reapproximated with 2 interrupted stitches of 3 O-Vicryl. Skin incision was closed with interrupted vertical mattress stitches of 3 O-Nylon. Sterile dressings consisted of Bacitracin and a Band-Aid were applied.
Your thoughts?
% Lidocaine with Epinephrine was infiltrated to ensure regional anesthesia. After this was done a 15 blade scalpel was used to make a skin incision over the palpable abnormality. The deep dermis was divided sharply with cautery until subcutaneous tissues were identified. There is an area of significant hardness associated with the area. Subsequently flaps were created cephaladly and caudally and medially and laterally to dissect out the area of the palpable abnormality. It felt like calcified subcutaneous tissues. This was removed sharply with cautery. The remaining subcutaneous tissues all appeared soft and were palpably normal. A 2 cm incision was made in order to facilitate this. The wound was irrigated with 200 ml of sterile Saline. Subcutaneous tissues were reapproximated with interrupted stitches of 3 O-Vicryl. The deep dermis was reapproximated with 2 interrupted stitches of 3 O-Vicryl. Skin incision was closed with interrupted vertical mattress stitches of 3 O-Nylon. Sterile dressings consisted of Bacitracin and a Band-Aid were applied.
