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Need help with op report coding

  1. Question Need help with op report coding
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    The patient was placed in the supine position. The head was tilted towards the right side. The area was injected with Xylocaine 1% and 1:100,000 epinephrine and area was carefully mapped out with a marking pen.

    Utilizing a #15 knife blade, the lesion was removed in toto and the specimen will be sent to the lab for hisopathologic study. The bleeding was controlled with Bovie cauterization. We then redirected our attention to the left postauricular area. This was washed with Betadine and soap solution. An ellipse-shaped skin graft was obtained and this was fashioned to the actual size of the recipient surgical defect, and this was sutured in place with the use of a 6-0 nylon suture material. A stent dressing was applied which was sutured in to the surgical wound. The donor site was then closed the the use of 5-0 nylon suture material in a continuous interlocking fashion and a 1/2inch Steri-strip was applied.
    Last edited by chughes04; 12-18-2009 at 10:34 AM.

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