BFAITHFUL
Expert
Hello everyone,
I'm having trouble with the following op report. Not sure what CPT code to use, soft tissue CPT, integumentary 114xx or 17110? It doesn't even document the size properly.
DX: Multiple soft tissue neoplasms of right foot, greater than 20. Path report states: Verruca
53 yr old presented to ASC for soft tissue neoplasms of the right foot, numbering greater than 20, consistent in appearance to verruca plantaris.
Attention was then directed to the patient's right plantar heel, where the largest neoplasm was identified, and two converging semi elliptical incisions were amde encompassing the central lesion. The incision was approximately 3cm length and 1cm in width. The skin wedge was then ellipsed out to the level of fat and removed from the surgical field in toto, and sent off to pathology. Next a similar technique was used for three lesions proximal to the central lesion, as well as one lesion distal to it. These two were excised down to the level of fat and removed from the surgical field in toto, and also sent off for pathology.
At this time, several other small lesions were noted and were cauterized. All sites were then cauteriaed, curetted, cauterized again, and the curetted again. The areas that were excised were reapproximated using 4-0 nylon. the wounds were dressed in bacitracin, adaptic, sterile gauze, kerlix and an Ace bandage.
Thanks
I'm having trouble with the following op report. Not sure what CPT code to use, soft tissue CPT, integumentary 114xx or 17110? It doesn't even document the size properly.
DX: Multiple soft tissue neoplasms of right foot, greater than 20. Path report states: Verruca
53 yr old presented to ASC for soft tissue neoplasms of the right foot, numbering greater than 20, consistent in appearance to verruca plantaris.
Attention was then directed to the patient's right plantar heel, where the largest neoplasm was identified, and two converging semi elliptical incisions were amde encompassing the central lesion. The incision was approximately 3cm length and 1cm in width. The skin wedge was then ellipsed out to the level of fat and removed from the surgical field in toto, and sent off to pathology. Next a similar technique was used for three lesions proximal to the central lesion, as well as one lesion distal to it. These two were excised down to the level of fat and removed from the surgical field in toto, and also sent off for pathology.
At this time, several other small lesions were noted and were cauterized. All sites were then cauteriaed, curetted, cauterized again, and the curetted again. The areas that were excised were reapproximated using 4-0 nylon. the wounds were dressed in bacitracin, adaptic, sterile gauze, kerlix and an Ace bandage.
Thanks
