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Open cystectomy from the extensor carpi ulnaris tendon

  1. Default Open cystectomy from the extensor carpi ulnaris tendon
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    A longitudinal incision of the dorsal ulnar aspect of the forearm was made. The cyst was involved
    with the tendon of the ECRL as well as the dorsal ulnar fascia. I did a partial fasciectomy, elevated
    off the tendon and excised the cyst and sent if for pathology. Hemostasis was noted. There was
    redundant scar tissue, somewhat of an amorphous appearance of the base but it did not seem

    I am asking for suggestions please for the CPT and ICD code for this
    not really even sure what to use.
    Thanks for all your help

  2. Default
    just trying to get this figured out and I'm still stumped. Does anyone have suggestions please?

  3. Default
    I would wait for path to determine....could be Giant cell tumor of tendon sheath (cpt 25110)

  4. Default
    Thank you for your suggestion. Just got path and it is stating
    Portion of fibrous apparent cyst wall with focal mucinous degeneration and associated adipose tissue, negative for malingancy measuring 15 x 4 x 3 mm.

    I am wandering if I can use 25076?

    or if anyone has any other suggestions please. I am just not really sure what to use for sure.

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