amanda19791
Networker
Procedure:
The patient was placed in the supine position. Adequate anesthesia was initiated. The position was changed to prone. The upper back and neck were prepped and draped in a sterile fashion. An elliptical incision was made to incorporate the entire lesion, leaving a very small rim of keloid in an attempt to prevent recurrence. The lesion was undermined sharply in the subcutaneous space and passed off the field to be sent to Pathology. The rim was injected with Kenalog. The wound was infiltrated with Marcaine. The subcutaneous tissues were closed with interrupted 3-0 Vicryl sutures. The skin was closed with interrupted subcuticular 4-0 Monocryl sutures and Steri-Strips. The procedure was well tolerated and there were no apparent complications.
Dx code:
Keloid L91.0
Pilomatrixoma of trunk D23.5
Findings:
The keloid was 1.5x4cm and was taken with no margin. 40mg of Kenalog was used.
Would we bill the injection 11900?
Any advice?
Thanks.
The patient was placed in the supine position. Adequate anesthesia was initiated. The position was changed to prone. The upper back and neck were prepped and draped in a sterile fashion. An elliptical incision was made to incorporate the entire lesion, leaving a very small rim of keloid in an attempt to prevent recurrence. The lesion was undermined sharply in the subcutaneous space and passed off the field to be sent to Pathology. The rim was injected with Kenalog. The wound was infiltrated with Marcaine. The subcutaneous tissues were closed with interrupted 3-0 Vicryl sutures. The skin was closed with interrupted subcuticular 4-0 Monocryl sutures and Steri-Strips. The procedure was well tolerated and there were no apparent complications.
Dx code:
Keloid L91.0
Pilomatrixoma of trunk D23.5
Findings:
The keloid was 1.5x4cm and was taken with no margin. 40mg of Kenalog was used.
Would we bill the injection 11900?
Any advice?
Thanks.