codedog
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DX - Right hip congenital nevus
Procedure : Wide excision of nevus with multiple closure.
The area had been mark in the preoperative holding area . It was on the hip. IT was prepped and draped in normal fashion. A marking pen was used to ensure we have 1.5 2.0 cm mark all the way around. a 10cc of 1% lidocaine with epinephrine was used to inject in subdermal area . A large 12-15 cm I-SHAPED incision was made to include entire lesion in oval. This was done all way down to the subcutaneous fat. A specimen was removed and sent to Pathlogy. Excellent hemostasis was noted to be obtained. The wound was closed in two layers with flaps with 3-0 and 4=0 vicryl in subcuticular fashion. It was noted to come together excellently without evidence of tension. Steri-STRIPS and sterille dressings were placed.
path report came back as a congenital compound nevus- 216.7
my question is this
Do i code 27047-with dx code 216.7
or do i code 11426 with layer closure
which one would you choose, and why ?
Procedure : Wide excision of nevus with multiple closure.
The area had been mark in the preoperative holding area . It was on the hip. IT was prepped and draped in normal fashion. A marking pen was used to ensure we have 1.5 2.0 cm mark all the way around. a 10cc of 1% lidocaine with epinephrine was used to inject in subdermal area . A large 12-15 cm I-SHAPED incision was made to include entire lesion in oval. This was done all way down to the subcutaneous fat. A specimen was removed and sent to Pathlogy. Excellent hemostasis was noted to be obtained. The wound was closed in two layers with flaps with 3-0 and 4=0 vicryl in subcuticular fashion. It was noted to come together excellently without evidence of tension. Steri-STRIPS and sterille dressings were placed.
path report came back as a congenital compound nevus- 216.7
my question is this
Do i code 27047-with dx code 216.7
or do i code 11426 with layer closure
which one would you choose, and why ?