ValerieDUP!
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I'm hoping someone can help me. I rarely code lesions and especially not multiple ones. My patient is in a nursing home but my doc did all procedures as an outpatient at the hospital. I have come up with what I think is correct but I want to double check. I have enclosed a portion of the note. Thanks
Procedure: Multiple elliptical excisional biopsies and punch biopsies for suspected basal call carcinoma.
....In the right maxillary area, there was a 1.5cm ellitical excisional biopsy done and closed with 5-0 nylon interupted suture. On neck on the right side, there were two elliptical biopsies, one approximately 3cm and one 2 cm in lenghth through skin and superficial fat and closed with 4-0 nylon interupted sutures. On the right chest, there were two 5-mm punch biopsies done and closed with one 5-0 nylon suture for each and on the right chest there was a large 4-cm elliptcal excision done. There was undermining of the margins in order to close the lesion. This was closed with six 4-0 vertical matress sutures and four interupted simple sutures. (he used basal cell carcinoma dx for all lesions)
Procedure: Multiple elliptical excisional biopsies and punch biopsies for suspected basal call carcinoma.
....In the right maxillary area, there was a 1.5cm ellitical excisional biopsy done and closed with 5-0 nylon interupted suture. On neck on the right side, there were two elliptical biopsies, one approximately 3cm and one 2 cm in lenghth through skin and superficial fat and closed with 4-0 nylon interupted sutures. On the right chest, there were two 5-mm punch biopsies done and closed with one 5-0 nylon suture for each and on the right chest there was a large 4-cm elliptcal excision done. There was undermining of the margins in order to close the lesion. This was closed with six 4-0 vertical matress sutures and four interupted simple sutures. (he used basal cell carcinoma dx for all lesions)