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Am I stuck with 58999

  1. #1
    Default Am I stuck with 58999
    Exam Training Packages
    Please help - I can not find anything other than the unlisted that fits.

    A small 5-mm incision was made with a scalpel on the vaginal wall. The plane
    between the vaginal wall and the cyst wall was then identified, and using
    blunt dissection, the cyst was attempted to be removed intact. The cyst
    was ruptured in this process, and approximately 5-7 cc of serous fluid was
    drained out of the cyst. We then continued to attempt the excision of the
    cyst, but because the cyst wall did not have a clear plane and was very
    thin, it was deemed to be very difficult to be able to completely excise
    the cyst. To avoid the risk of incomplete cyst excision with risk of
    recurrent cyst formation, it was decided to proceed with a marsupialization
    of the cyst. So, marsupialization was performed. The cyst wall was
    palpated and visually inspected to be smooth without any lesions.
    Interrupted sutures were placed using 3-0 Vicryl to marsupialize the cyst
    wall to the vaginal wall.

    At the end of the procedure, the marsupialization opening was approximately
    2cm in diameter. Excellent hemostasis was noted during the whole
    procedure.

  2. #2
    Location
    Tacoma, WA
    Posts
    1,087
    Default
    Quote Originally Posted by maryir View Post
    Please help - I can not find anything other than the unlisted that fits.

    A small 5-mm incision was made with a scalpel on the vaginal wall. The plane
    between the vaginal wall and the cyst wall was then identified, and using
    blunt dissection, the cyst was attempted to be removed intact. The cyst
    was ruptured in this process, and approximately 5-7 cc of serous fluid was
    drained out of the cyst. We then continued to attempt the excision of the
    cyst, but because the cyst wall did not have a clear plane and was very
    thin, it was deemed to be very difficult to be able to completely excise
    the cyst. To avoid the risk of incomplete cyst excision with risk of
    recurrent cyst formation, it was decided to proceed with a marsupialization
    of the cyst. So, marsupialization was performed. The cyst wall was
    palpated and visually inspected to be smooth without any lesions.
    Interrupted sutures were placed using 3-0 Vicryl to marsupialize the cyst
    wall to the vaginal wall.

    At the end of the procedure, the marsupialization opening was approximately
    2cm in diameter. Excellent hemostasis was noted during the whole
    procedure.
    I would be more inclined to use 57135 even tho it was marsupialized. Still was excision of a vaginal cyst and sutures were required.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

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