PREOPERATIVE DIAGNOSIS: Persistent right areolar lesion.

POSTOPERATIVE DIAGNOSIS: Persistent right areolar lesion

TITLE OF OPERATION: Excisional biopsy right areolar lesion. This was followed by plastic closure with Y-V advancement flap.

ANESTHESIA: Local with sedation ESTIMATED BLOOD LOSS: The estimated blood loss is minimal.

FINDINGS: Operative findings included approximately 1 centimeter papular lesion non pigmented which was benign on touch prep.

DESCRIPTION OF PROCEDURE: The patient was brought to the operating room and placed in the supine position. Following ChloroPrep preparation, the excision was planned as a wedge from approximately the 8 to the 7 o'clock position. After infiltration of local anesthetic, the wedge shaped incision was made around the lesion at the apex of the wedge near the nipple. This was carried down through skin and subcutaneous tissue using a scalpel and the tissue was excised using cautery. This was passed off the field. The wound was irrigated with Ancef irrigating solution. Bleeding was controlled with cautery. The skin flaps were then elevated inferiorly and closure was begun at the apex of the wedge. This was carried down for a distance of approximately 1 centimeter. The Vof the V-shaped flap was then advanced after undermining the skin edges for a distance of approximately 1 centimeter using interrupted sutures of 3-0 Vicryl and 4-0 Vicryl was then used to complete the closure. This was followed by Mastisol, Steri-strips and a dry, sterile dressing, and Tegaderm. The patient tolerated the procedure well and was brought back to the Recovery Room in stable condition.

Would code 19120 work? and the closure?