Help with coding.
Please any help with this case would be appreciated.
Specimens: A through S finally resulting in resection of about 80% of the left lower eyelid.
The first section was taken where it all turned out to be positive until finally the last section, which was a full thickness was negative for tumor. When margins were negative, recontruction commenced.
A pedicle flap from the left upper lid was rotated downward to the level of the left lower lid. A tarsal plate was then transferred in the conjuctival buccal flap. This was then positioned with multiple 5-0 Vicryl sutures. The skin graft was harvested for the right upper lid and transferred to the left lower lid and centered positon with multiple 5-0 fast. A canthotomy cantholysis was performed to recontruct the lateral canthal tendon and a 4-0PDS suture on a P2 half round needle was then used to reseal the lower to the upper lid and resupspend it above Whitnall's tubercle from the lateral orbital rim. The skin incision laterally was then closed with 5-0 nylon. The intramarginal adhesions were also performed with 5-0 nylon.
To note MD office used codes 15260, 21282 and 67917 can't see where they are getting 67917.
Last edited by CVelez; 01-19-2010 at 02:40 PM.
Reason: adding codes MD used.