Wiki How To Code ED&C?

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tfrick2

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Here's the note:

BCC at left chest- ED&C done today. Specimen sent for pathology to confirm diagnosis
- ELECTRODESICCATION AND CURETTAGE (ED&C) PROCEDURE NOTE:
Site: Left chest
Area of lesion prior to curettage: 1.3 x 1.0 cm
Area of curettage: 1.8 x 1.5 cm

The risks and benefits of ED&C and other treatment options were discussed with the patient. Discussed risks of ED&C including scar, bleeding infection, discomfort, slow wound healing, rarely allergic rxn or injury to deeper structures. Consent was obtained. I confirmed that the patient does not have a pacemaker or defibrillator. Sterile preparation with hibiclens was used. 1% Lidocaine with epinephrine, 3 cc total volume was injected sq. Shave biopsy specimen was obtained and sent to SkinPathLab. Then curettage was performed x 3 alternating with electrodesiccation. The procedure was well-tolerated without complication. Vaseline and a dressing were applied. Wound care was reviewed and written instructions were given to the patient.

Thank you for your help!
Tracy
 
tfrick2 said:
Here's the note:

BCC at left chest- ED&C done today. Specimen sent for pathology to confirm diagnosis
- ELECTRODESICCATION AND CURETTAGE (ED&C) PROCEDURE NOTE:
Site: Left chest
Area of lesion prior to curettage: 1.3 x 1.0 cm
Area of curettage: 1.8 x 1.5 cm

The risks and benefits of ED&C and other treatment options were discussed with the patient. Discussed risks of ED&C including scar, bleeding infection, discomfort, slow wound healing, rarely allergic rxn or injury to deeper structures. Consent was obtained. I confirmed that the patient does not have a pacemaker or defibrillator. Sterile preparation with hibiclens was used. 1% Lidocaine with epinephrine, 3 cc total volume was injected sq. Shave biopsy specimen was obtained and sent to SkinPathLab. Then curettage was performed x 3 alternating with electrodesiccation. The procedure was well-tolerated without complication. Vaseline and a dressing were applied. Wound care was reviewed and written instructions were given to the patient.

Thank you for your help!
Tracy
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The code I'm coming up with is 17262, but I'm not sure that's right. I would really appreciate any suggestions you can give me! Thank you!!!
 
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