Rufus186
Networker
I am having trouble finding a code for the excison of a calcinosis cutis mass in the wrist joint. This was not a ganglion to support 25111 but was excised in the joint so 25076 doesnt necessarily fit the procedure.
Open carpal tunnel release was done as well
Path lab result calcinosis cutis
Op note reads as follows, ...the mass (2cm) was firmly adherent to the capsule of the wrist join tand then using sharp dissection gently on the ulnar aspect the mass was slowly elevated. There was a stalk that was going right down to the joint. When this was transected white chalky material similiar to gout was extruded from the mass. This was completely shelled out. There did not appear to be any invasion of the tendons. The FPL that had been displaced was intact as well as the digital flexors.
Looking at the wound, the bones were palpable of the wrist; however, they were not readily seen. It did appear this was a ventral rent in the capsule. The portion of the capsule that was overlying what appears to be the white chalky material was transected and also sent to pathology. There was enough of this left and this was repaired the volar rent of the capsule with 3-0 Ethibond in a figure of eight suture configuration.
Thanks in advance
Open carpal tunnel release was done as well
Path lab result calcinosis cutis
Op note reads as follows, ...the mass (2cm) was firmly adherent to the capsule of the wrist join tand then using sharp dissection gently on the ulnar aspect the mass was slowly elevated. There was a stalk that was going right down to the joint. When this was transected white chalky material similiar to gout was extruded from the mass. This was completely shelled out. There did not appear to be any invasion of the tendons. The FPL that had been displaced was intact as well as the digital flexors.
Looking at the wound, the bones were palpable of the wrist; however, they were not readily seen. It did appear this was a ventral rent in the capsule. The portion of the capsule that was overlying what appears to be the white chalky material was transected and also sent to pathology. There was enough of this left and this was repaired the volar rent of the capsule with 3-0 Ethibond in a figure of eight suture configuration.
Thanks in advance