codedog
True Blue
could not find a clavicular mass in cpt book. Shold i just code this an intergumentary system-11400 series and with a repair code ?
OPERATION: Excision of left clavicular mass clinically a lipoma around 3 to 5 cm.
STOPERATIVE DIAGNOSIS: Left clavicular mass.
PROCEDURE:
After appropriate informed consent was signed, the patient was taken to the operating room, was transferred to the operating table, and underwent general anesthesia with laryngeal mask. The area of the left shoulder and the left clavicular area was prepped and draped in the normal fashion. The patient had been examined by me in the preoperative holding area and identified prior to this. Prior to the use of Bovie cauterization, the patient was prepped with DuraPrep solution, and about three to five minutes were waited prior to using Bovie. An incision was made directly over the mass on the inferior part of the clavicle. Dissection was carried down to skin and subcutaneous tissue. What appeared to be a clinical lipoma was removed. It was around 3 to 5 cm. Excellent hemostatic was noted to be obtained. The wound was closed with 3-0 Vicryl for the subdermal layers and 4-0 Vicryl in a subcuticular fashion. Steri-Strips and a sterile dressing were placed.
The patient tolerated the procedure and was transferred to the recovery room in stable condition.
path report came back as a lipoma
_____________________________________ ______________
OPERATION: Excision of left clavicular mass clinically a lipoma around 3 to 5 cm.
STOPERATIVE DIAGNOSIS: Left clavicular mass.
PROCEDURE:
After appropriate informed consent was signed, the patient was taken to the operating room, was transferred to the operating table, and underwent general anesthesia with laryngeal mask. The area of the left shoulder and the left clavicular area was prepped and draped in the normal fashion. The patient had been examined by me in the preoperative holding area and identified prior to this. Prior to the use of Bovie cauterization, the patient was prepped with DuraPrep solution, and about three to five minutes were waited prior to using Bovie. An incision was made directly over the mass on the inferior part of the clavicle. Dissection was carried down to skin and subcutaneous tissue. What appeared to be a clinical lipoma was removed. It was around 3 to 5 cm. Excellent hemostatic was noted to be obtained. The wound was closed with 3-0 Vicryl for the subdermal layers and 4-0 Vicryl in a subcuticular fashion. Steri-Strips and a sterile dressing were placed.
The patient tolerated the procedure and was transferred to the recovery room in stable condition.
path report came back as a lipoma
_____________________________________ ______________