I am sure this is so simple and I am complicating it LOL Would you code 24075 & 24071?? TIA
Melissa Bedford,CCS,CPC
DIAGNOSIS:
1. Bilateral posterior arm masses.
2. Left antecubital mass
POSTOP DIAGNOSIS:
Same.
PROCEDURE:
1. Excision Bilateral Posterior arm masses, ( 25 mm diameters).
2. Excision left antecubital mass
SURGEON:
.
ANESTHESIA:
LMA.
TOURNIQUET TIME:
none
BLOOD LOSS:
Minimal.
FLUIDS:
Per anesthesia record.
OPERATIVE FINDINGS: lipomas x 3, 2-3 cm posterior arm and 1.5-2 cm antecubital
OPERATIVE SUMMARY IN DETAIL:
Following appropriate informed consent, patient identification, and operative limb, the patient was brought to the operating suite where smooth induction of LMA anesthesia was accomplished by Anesthesiology Service and He received broad-spectrum IV antibiotic prophylaxis. The upper extremities were prepped and draped in the usual sterile fashion. Time-out procedure performed. Transverse incisions over the SQ masses were carried out. Blunt dissection was carried down through the subcutaneous tissues. The masses were identified and meticulously dissected and mobilized. They were 2-3cm sized masses with fatty appearence that were consistent with lipomas. The masses wes excised and sent to pathology. There was no undue bleeding. Hemostasis performed using electrocautery. The wounds were reapproximated with absorbable sutures / dermabond and infiltrated with 0.5% Marcaine for perioperative pain relief. Sterile nonadherent dressings were applied. He was extubated and transported to the recovery area in stable condition. There were no intraoperative complications.
Melissa Bedford,CCS,CPC
DIAGNOSIS:
1. Bilateral posterior arm masses.
2. Left antecubital mass
POSTOP DIAGNOSIS:
Same.
PROCEDURE:
1. Excision Bilateral Posterior arm masses, ( 25 mm diameters).
2. Excision left antecubital mass
SURGEON:
.
ANESTHESIA:
LMA.
TOURNIQUET TIME:
none
BLOOD LOSS:
Minimal.
FLUIDS:
Per anesthesia record.
OPERATIVE FINDINGS: lipomas x 3, 2-3 cm posterior arm and 1.5-2 cm antecubital
OPERATIVE SUMMARY IN DETAIL:
Following appropriate informed consent, patient identification, and operative limb, the patient was brought to the operating suite where smooth induction of LMA anesthesia was accomplished by Anesthesiology Service and He received broad-spectrum IV antibiotic prophylaxis. The upper extremities were prepped and draped in the usual sterile fashion. Time-out procedure performed. Transverse incisions over the SQ masses were carried out. Blunt dissection was carried down through the subcutaneous tissues. The masses were identified and meticulously dissected and mobilized. They were 2-3cm sized masses with fatty appearence that were consistent with lipomas. The masses wes excised and sent to pathology. There was no undue bleeding. Hemostasis performed using electrocautery. The wounds were reapproximated with absorbable sutures / dermabond and infiltrated with 0.5% Marcaine for perioperative pain relief. Sterile nonadherent dressings were applied. He was extubated and transported to the recovery area in stable condition. There were no intraoperative complications.