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hardware removal w/ mass excision

  1. Default hardware removal w/ mass excision
    Medical Coding Books
    Hello fellow coders,

    have a question, one of our ortho docs did a hardware removal of the ulnar styloid also @ same time a dark tissue mass was noted in the area and removed, would this not be inclusive to hardware removal?

    Thanks for your help
    Paula

  2. #2
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    without seeing an op note, my answer is yes to inclusive.


    Mary, CPC, COSC

  3. Default
    Procedure in detail:
    upper extremity was prepped and draped in the usual sterile fashion w/ well padded tourniquet on the upper arm. an incision was made over the area of the ulnar styloid through which the hardware was removed under fluro guidance. a dark tissue mass was noted in the are. Therefore, it was elected to excise the mass and sent for pathological analysis.
    This is what leads me to believe that it was inclusive

    Thaks for you help appreciate it
    Paula

  4. #4
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    I agree, this was incidental to the hardware removal.

    Mary, CPC,COSC

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