Results 1 to 2 of 2

integumentary vs musculoskeletal?

  1. Default integumentary vs musculoskeletal?
    Medical Coding Books
    Not sure which CPT code to use for the following integumentary vs musculoskeletal?



    A time out was performed prior to incision. Once consent was obtained, the patient was taken to the operating room and placed supine. Once anesthesia was provided, the abdomen was prepped and draped in the standard surgical fashion. After sedation was applied by the anesthesiologist, I used 20 mL of local to give local infiltrated block circumferentially around the lesion. I then used a 15 blade scalpel creating an elliptical incision around this obtaining approximately 8 to 9 mm margins on each side. This was carried down with Bovie electrocautery to the anterior abdominal wall fascia. After we excised, it was sent off as permanent section.


    I did demarcate the medial aspect with a long silk, the lateral wall with a short silk and the superior aspect of the lesion with a long Prolene and it was then sent off as permanent. I then dried the area. Hemostasis appeared controlled without any further maneuvers. I then used 2 0 Vicryl and SH to approximate the subcutaneous tissues. I then gave another 10 mL of local. I then dried the area. I used 4 0 Monocryl to approximate the skin. The incision was cleansed and dried and Dermabond applied over this.

  2. #2
    Default
    Quote Originally Posted by BFAITHFUL View Post
    Not sure which CPT code to use for the following integumentary vs musculoskeletal?



    A time out was performed prior to incision. Once consent was obtained, the patient was taken to the operating room and placed supine. Once anesthesia was provided, the abdomen was prepped and draped in the standard surgical fashion. After sedation was applied by the anesthesiologist, I used 20 mL of local to give local infiltrated block circumferentially around the lesion. I then used a 15 blade scalpel creating an elliptical incision around this obtaining approximately 8 to 9 mm margins on each side. This was carried down with Bovie electrocautery to the anterior abdominal wall fascia. After we excised, it was sent off as permanent section.


    I did demarcate the medial aspect with a long silk, the lateral wall with a short silk and the superior aspect of the lesion with a long Prolene and it was then sent off as permanent. I then dried the area. Hemostasis appeared controlled without any further maneuvers. I then used 2 0 Vicryl and SH to approximate the subcutaneous tissues. I then gave another 10 mL of local. I then dried the area. I used 4 0 Monocryl to approximate the skin. The incision was cleansed and dried and Dermabond applied over this.
    Integumentary - no muscular involvement, but it did go all the way through the subcutaneous layer. Choose the code based on malignant or benign, the total excised diameter (including margins). Report an intermediate repair separately, for the layered closure.

Similar Threads

  1. integumentary vs musculoskeletal?
    By BFAITHFUL in forum Dermatology
    Replies: 2
    Last Post: 11-29-2011, 12:27 PM
  2. integumentary vs musculoskeletal?
    By BFAITHFUL in forum Orthopaedics
    Replies: 0
    Last Post: 11-28-2011, 11:57 AM
  3. musculoskeletal vs integumentary?
    By BFAITHFUL in forum Dermatology
    Replies: 4
    Last Post: 11-04-2009, 07:16 PM
  4. integumentary or musculoskeletal
    By codedog in forum General Surgery
    Replies: 4
    Last Post: 06-22-2009, 11:37 AM
  5. integumentary
    By bsuse in forum Job Postings
    Replies: 0
    Last Post: 06-28-2007, 09:48 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?

Login

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.