Jamie Dezenzo
True Blue
Joint injection incidental to the ganglion cyst?
Cystic mass over the proximal aspect of the 5th metatarsal, aspirated clear gelatinous fluid until completely decompressed. Then punctured it multiple times w/ needle and then injected a combination of some lidocaine and kenalog. Massaged the area to rupture the cyst. (20612)
Then put a needle into the 5th tarsometatarsal jt and injected additional lidocaine and kenalog. The fluid was passing out the puncture wound from the excision. These 2 needle puncture sites were approx 3 or 4cm apart. This proved that this was a cyst associated with the 5th tarsometatarsal jt. (20600???)
DX given: rt 5th tarsometatarsal arthritis with associated ganglion cyst (716.97 and 727.41)
Thanks!!!!!!!!!
Cystic mass over the proximal aspect of the 5th metatarsal, aspirated clear gelatinous fluid until completely decompressed. Then punctured it multiple times w/ needle and then injected a combination of some lidocaine and kenalog. Massaged the area to rupture the cyst. (20612)
Then put a needle into the 5th tarsometatarsal jt and injected additional lidocaine and kenalog. The fluid was passing out the puncture wound from the excision. These 2 needle puncture sites were approx 3 or 4cm apart. This proved that this was a cyst associated with the 5th tarsometatarsal jt. (20600???)
DX given: rt 5th tarsometatarsal arthritis with associated ganglion cyst (716.97 and 727.41)
Thanks!!!!!!!!!