AAPC - Back to school
Results 1 to 1 of 1

Thread: Basal Cell Carcinoma

  1. #1
    Join Date
    Apr 2007

    Default Basal Cell Carcinoma

    AAPC: Back to School
    Hey Everyone,

    I am wondering if any one can help me on coding frozen sections.. Do i just use the excision of a maliglant lesion?? I just want to make sure i am not missing anything...
    Thank you

    The patient is a 77-year-old male with an extensive
    lesion of the nose which he relates to trauma approximately 6 months

    DESCRIPTION OF PROCEDURE: The patient was prepped and draped in the
    usual manner under general anesthesia. The surgical area was
    infiltrated with 1% lidocaine with adrenaline 1:100,000. The lesion
    was excised following the lines of direction. The initial specific
    gravity included external skin, cartilage and vestibular skin of the
    nasal tip, columella, right and left nasal ala, and extending on to
    the dorsum. Adequate hemostasis was obtained. Frozen section
    revealed basal cell carcinoma with the right ala margin involved. A
    second section was taken in this area until the margins were clean of
    tumor. The wound was irrigated with copious amounts of normal
    saline. Adequate hemostasis was obtained. Cheek and nasal flaps
    were then elevated and septal flaps were elevated. All flaps were
    then advanced and sutured in place with interrupted 3-0 and 4-0
    Prolene and 4-0 chromic gut sutures, closing the wounds. A Xeroform
    bulky sterile dressing was placed.

    The patient tolerated the procedure well and left the operating room
    in good condition.
    Last edited by KELLI; 07-19-2011 at 07:37 AM.

Similar Threads

  1. Re-excision of Basal Cell Carcinoma
    By MidwestCoder in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 09-18-2013, 01:08 PM
  2. excision of basal cell carcinoma of the lip
    By plasticscoder in forum Plastic Surgery
    Replies: 0
    Last Post: 02-20-2012, 06:02 AM
  3. Basal Cell Carcinoma
    By sjhazen75 in forum Internal Medicine
    Replies: 3
    Last Post: 01-07-2012, 03:42 PM
  4. Basal Cell Carcinoma
    By KELLI in forum Hematology/Oncology
    Replies: 0
    Last Post: 07-21-2011, 06:39 AM
  5. Dx code Basal Cell/Squamous Cell Carcinoma
    By Tonyj in forum Diagnosis Coding
    Replies: 2
    Last Post: 06-18-2010, 06:44 AM

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.