codedog
True Blue
Patient had an excision of chest wall mass. Doc office wants to bill 11403 , I think they may be wrong. I think it may be 21555 ,not sure though. it said that an incision was carried down through skin and subcutaneous , and that the mass was taken all the way down to fascia, .Does that mean mussculoskeletal system. Path report came back as infliltrating ductal carcinoma.
POSTOPERATIVE DIAGNOSIS: Breast CA with a chest wall mass.
OPERATION: Excision of chest wall mass.
ANESTHESIA: Local.
PROCEDURE IN DETAIL:
The patient was taken to the operating room, placed on the operating table in the supine position and under adequate local anesthesia was prepped and draped around her chest in the usual sterile fashion. Incision was made with an ellipse of tissue around the area of concern and carried down through the skin and subcutaneous tissue after it had been infiltrated with 1% lidocaine and 0.25% Marcaine 50:50 solution. Superior and inferior flaps were formed. Mass was taken all the way down to the fascia and sent to Pathology for analysis. Hemostasis was obtained with electrocautery. The wounds were then closed in layers with absorbable suture. Steri-strips were applied as well as a bandage. The patient was awakened and transported to the room in satisfactory condition.
Thanks
HTML:
OPERATION: Excision of chest wall mass.
ANESTHESIA: Local.
PROCEDURE IN DETAIL:
The patient was taken to the operating room, placed on the operating table in the supine position and under adequate local anesthesia was prepped and draped around her chest in the usual sterile fashion. Incision was made with an ellipse of tissue around the area of concern and carried down through the skin and subcutaneous tissue after it had been infiltrated with 1% lidocaine and 0.25% Marcaine 50:50 solution. Superior and inferior flaps were formed. Mass was taken all the way down to the fascia and sent to Pathology for analysis. Hemostasis was obtained with electrocautery. The wounds were then closed in layers with absorbable suture. Steri-strips were applied as well as a bandage. The patient was awakened and transported to the room in satisfactory condition.
Thanks