Hi Roxanne Thames;
Actually your documentation was not clear much. I am trying to explain you. sebaceous cyst was excised from back. Scenario for this type of report is, first look type of incision, if ellipitically removed then we need diameter to code this, so we need path. If path comes you have to look if skin was involved if yes then take maximum diameter from path or from op note. Then choose coded according to body part.
To report closure, read note carefuly if layered closure was performed then we can take intermidiate code if simple repair is performed than no need to coded seperately, which is inclusive in excision code.
you have taken 10040, which is acne code. As per note, your code should be 11400 series as per diameter and simple repair is there so no need to code simple repair.
hope this will help
Thanks and Regards
Sanjeev Sonkar, CPC
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