Jamie Dezenzo
True Blue
OP note read:
Debridement of nasolabial flap/ Squamous cell carcinoma of columella and caudal septum S/P nasolabial flap and auricular cartilage graft repair
The flap was inspected. The distal one-third of the flap was completely devascularized. All of this necrotic tissue was debrided. The recipient bed was also debrided. It was debrided down to healthy tissue, as was the nasolabial flap. Once this was accomplished, the flap was inspected. Because we had lost so much tissue it was not able to reach completely to the columella. At this time, the cartilage graft is appropriately covered. Therefore, I inset the remainder of the flap at the base of the columella and extending to the portion of the inferior columella. She will require some healing by secondary intention before we decide to tape this flat down. I may attempt to use a portion of the skin from the nasolabial flap.
Would this be more along the lines of CPT 15630 and 11042?
THANKS for any help!
Jamie
Debridement of nasolabial flap/ Squamous cell carcinoma of columella and caudal septum S/P nasolabial flap and auricular cartilage graft repair
The flap was inspected. The distal one-third of the flap was completely devascularized. All of this necrotic tissue was debrided. The recipient bed was also debrided. It was debrided down to healthy tissue, as was the nasolabial flap. Once this was accomplished, the flap was inspected. Because we had lost so much tissue it was not able to reach completely to the columella. At this time, the cartilage graft is appropriately covered. Therefore, I inset the remainder of the flap at the base of the columella and extending to the portion of the inferior columella. She will require some healing by secondary intention before we decide to tape this flat down. I may attempt to use a portion of the skin from the nasolabial flap.
Would this be more along the lines of CPT 15630 and 11042?
THANKS for any help!
Jamie