Wiki Help Coding an advanced flap and lysis of adhesions Breast

patti4docs

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I need help coding an advanced flap on a revision of reconstructed breast and Lysis of pectoralis fascia adhesion's. Dr. doesn't specify size at all for flap so I thought to use 14000 and for the adhesion's there is no Lysis code for this so I thought to use incision code for 11300 since again Doctor didn't specify size on the adhesions either...or should it just be a standard incision of lesion trunk 11400? Here is an excerpt:

Adhesions:
The adhesions to the pectoralis fascia were then lysed.



Flap:
Bilateral periauricular incisions were made and the skin flap developed. Bleeding was controlled by electrocautery. The flap was then advanced. :rolleyes:
 
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