AAPC - Back to school
Results 1 to 3 of 3

Thread: Need help with op note.

  1. #1

    Default Need help with op note.

    AAPC: Back to School
    "..Patient was placed on the table in the supine position. Right arm was abducted 90 degrees and her arm, flank and right breast were prepped and draped in the usual sterile fashion. The patient had a nonhealing radiation ulcer from a previous lumpectomy. She had a very large overhanging skin fold, which was not allowing the ulcer to heal, so this area was infiltrated with tumescent solution and the 3 and 4 mm cannula was used to aspirate this area to debulk it. 250 cc of tumescent solution was infiltrated. A total of 400 cc was removed, of which 300 cc was fat supernatant. Next, an elliptical incision was used to cut out the ulcer and this was previously marked in the sitting position. This was excised down to subcutaneous tissue. The entire length of the wound was 14 cm. The specimen was sent to pathology. After obtaining hemostasis with electrocautery the wound was closed in layers with 3-0 Vicryl and a running 4-0 Monocryl suture. A few interrupted 5-0 Monocryl were also placed. She was sent to the recovery room after placing a dressing in stable condition."

    I'd appreciate any thoughts on this. I was thinking 15877, 11406 and 12035 with dx of 707.9 The doc (I'm thinking because the payer would deny the lipo) coded complex closure and nothing else (13101,13102,13102).

    Thanks in advance.

  2. #2



    Coding with complex closure will be more appropriate for this senario.

    Joseph Amalraj Antonisamy CPC-H

  3. #3


    Thanks for your help - can you explain why would you code complex closure and - would you code the lipo separately ? Thanks.

Similar Threads

  1. PA note vs. resident note
    By MADION in forum E/M
    Replies: 1
    Last Post: 05-27-2014, 09:10 AM
  2. Op note
    By ktenney in forum Podiatry
    Replies: 1
    Last Post: 12-28-2010, 11:02 AM
  3. Brief Note!
    By jifnif in forum E/M
    Replies: 2
    Last Post: 01-14-2010, 09:07 AM
  4. op note
    By sblanchard in forum Orthopaedics
    Replies: 1
    Last Post: 09-30-2009, 01:41 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.