OPERATION: Excision left inguinal lymph node-single-lymphadenectomy-deep-subfascial
PROCEDURE: Left inguinal palpable lymph node marked preoperatively with indelible ink was palpabled again and a local field block was achieved using Marcaine with ephinephrine. An oblique incision was made in the skin crease in Langer's lines through the skin and subcutaneous tissue down below the Scarpa's fascia down deep subfascial where an ovoid, enlarged lymph node measuring approximately 2.5 to 3 cm was then identified and this was removed using hemoclips thus ligating the lymphatic channels and venous and arterial blood supply. Specimen was removed and sent to pathology. This was not sent for flow cytometry as this is a lymphadenopathy as a reation/response to infrection of the left leg from an insect bite. Wound was irrigated out. No bleeding seen Deep tissue and Scarpa's fascia were reapproximated with subcuticular 4-0 Vicryl suture.
I'm sorta at a loss as to how to code/bill this one since there isn't an actual code for it. Unless I use the unlisted procedure code 38999, but then my concern is that my doc won't get any RVU's for this procedure, which is how they get paid.
PROCEDURE: Left inguinal palpable lymph node marked preoperatively with indelible ink was palpabled again and a local field block was achieved using Marcaine with ephinephrine. An oblique incision was made in the skin crease in Langer's lines through the skin and subcutaneous tissue down below the Scarpa's fascia down deep subfascial where an ovoid, enlarged lymph node measuring approximately 2.5 to 3 cm was then identified and this was removed using hemoclips thus ligating the lymphatic channels and venous and arterial blood supply. Specimen was removed and sent to pathology. This was not sent for flow cytometry as this is a lymphadenopathy as a reation/response to infrection of the left leg from an insect bite. Wound was irrigated out. No bleeding seen Deep tissue and Scarpa's fascia were reapproximated with subcuticular 4-0 Vicryl suture.
I'm sorta at a loss as to how to code/bill this one since there isn't an actual code for it. Unless I use the unlisted procedure code 38999, but then my concern is that my doc won't get any RVU's for this procedure, which is how they get paid.