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Excision of carcinoma of ear with skin graft

  1. #1
    Location
    NEW ORLEANS
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    954
    Default Excision of carcinoma of ear with skin graft
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    Stuck on this one

    Postoperative Diagnosis: 1) Squamos cell carcinoma of the right scapha of the ear, 2) Squamos cell carcinoma of the helix of the same ear, two seperate lesions, 3) Squamos cell carcinoma of the left cheek.

    Operation: 1) Excision of squamos cell carcinoma of theear 2.5 cm with full thickness skin graft from the left supraclavicular area, 2) Excision of second squamos cell carcinoma of the helix with pentagonal excision and direct closure, 3) Excision of 2 cm squamos cell carcinoma of the left cheek, closure with rotation advancement flap less than 10 cm. This is a local tissue rearrangement, less than 20 cm.

    I AM LOOKING AT
    11643
    15260
    11643-59
    11642-59
    14061-59
    JUST A GUESS, ? , ANY INTAKES ? THANKS

  2. #2
    Thumbs up
    I just glance at it but it looks good to me your coding!!!
    NoRaX

  3. #3
    Default excision
    Quote Originally Posted by trent123 View Post
    Stuck on this one

    Postoperative Diagnosis: 1) Squamos cell carcinoma of the right scapha of the ear, 2) Squamos cell carcinoma of the helix of the same ear, two seperate lesions, 3) Squamos cell carcinoma of the left cheek.

    Operation: 1) Excision of squamos cell carcinoma of theear 2.5 cm with full thickness skin graft from the left supraclavicular area, 2) Excision of second squamos cell carcinoma of the helix with pentagonal excision and direct closure, 3) Excision of 2 cm squamos cell carcinoma of the left cheek, closure with rotation advancement flap less than 10 cm. This is a local tissue rearrangement, less than 20 cm.

    I AM LOOKING AT
    11643
    15260
    11643-59
    11642-59
    14061-59
    JUST A GUESS, ? , ANY INTAKES ? THANKS

    This is what I'm looking at:
    for #1 I agree with you.
    11463
    15260

    for #2- There isn't anything to indicate size, or closure so you get the smallest with simple closure.
    11640

    For #3- The advancement flap includes the excision.
    14040

    see what you think, anyone else?

  4. #4
    Location
    Columbia, MO
    Posts
    12,570
    Default
    I was typing in the same reply when yours appeared! So I am agreeing with Anna.

    Debra A. Mitchell, MSPH, CPC-H

  5. #5
    Location
    NEW ORLEANS
    Posts
    954
    Default
    Thank you everyone, you are right about advancement flap. i forgot its included with excision, thanks for your help

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