Results 1 to 2 of 2

new coder needs CPT help

  1. #1
    Default new coder needs CPT help
    Medical Coding Books
    procedure: pilonidal cystectomy (Bascom type excision)

    Attention was turned to the midline pits. At the superior edge of the the inflamed area, there is a 1 cm opening from which some purulent exudate was expressible. Approximately 3 cm below this area, there was a 2-3 cm area with multiple small dilated pits in close proximity. An 11 blade knife was used to excise the superior pit and the area of skin containing the confluent smaller pits. Gelatinous inflammatory tissue was encountered followed by large plugs of hair.
    A 4 cm incision was made in the left lateral buttock just lateral to the excised pits. A tunnel was made between the open lateral incision and the pilonidal pseudocyst area. The indurated avascular pseudocyst walls were completely excised and the gelatinous material against the dermis was removed with a curette. The open wound cavity was irrigated vigorously multiple times to remove any remaining debris and hair material. Examination revealed complete removal of all the pilonidal cyst material. Bleeding points within the subcutaneous tissue and dermis were controlled with electrocautery. The midline pits were reapproximated with interrupted sutures of 3-0 chromic gut suture. The wound cavity was packed through the laterial incision wiht a single 4x4 gauze soaked in diluted Betadine.

  2. #2
    Fayetteville, NC
    Have you looked at 11770?
    In my General Surgery/Gastroenterology Coding Companion the description of the procedure is roughly the same as the OP note you qouted.
    A. McCormick, CPC, CGSC
    Walters Surgical Associates

Similar Threads

  1. new coder - Can anyone please tell me
    By ggparker14 in forum Orthopaedics
    Replies: 2
    Last Post: 06-21-2011, 09:50 AM
  2. new coder needs help with CPT(s)
    By ggparker14 in forum Emergency Department
    Replies: 0
    Last Post: 06-17-2011, 03:07 PM
  3. new coder needs help - What CPT to use
    By ggparker14 in forum Orthopaedics
    Replies: 1
    Last Post: 04-15-2011, 06:20 AM
  4. Need help with CPTs for laparotomy
    By ggparker14 in forum OB/GYN
    Replies: 1
    Last Post: 04-13-2011, 12:27 PM
  5. new coder - Need help
    By ggparker14 in forum Orthopaedics
    Replies: 1
    Last Post: 03-07-2011, 01:59 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.