1. Maria Nunez
   Posted 4 months ago #
   

   Can anyone help me - What is the correct CPT code for excision of chronic draining sinus tract from right mons pubis? Also, is the ICD-9 682.2?

   Op note reads: A lacrimal probe was used and placed through the inferior sinus tract opening. It did track superiorly to the other area of past inflammation which was about a centimeter and half superior to this. The superior area was excised in elliptical fasion and the tract was then excised inferiorly. In order to excise the entire tract correctly, the incision had to be elongated inferiorly to connect to the 2 sinus areas and this was done and the entire sinus tract was excised using sharp dissection and electrocautery. This was down to good normal fatty tissue. The incision was then closed with 4-0 Monocryl subcuticular stitch. Steri-strips and dressing were placed.

2. SuperCoder
   Posted 4 months ago #
   

   I think you have used unrelated anatomical terms that is making report confusing. Will you please crosscheck the report details as a whole for the correctness of its documentation?

3. Maria Nunez
   Posted 4 months ago #
   

   The Operative note Reads:

   DX: Chronic draining sinus tract right mons pubis

   Procedure: Excision of chronic draining sinus tract from rith mons pubis

   Brief Description: This is a 28-year-old female with a chronic draining sinus tract to the right side of her groin. She has had infection in the past year, but now she is not having any active infections but continues to have drainage from the sinus tract site. Informed consent was obtained for excision.

   OPERATIVE REPORT: Patient was brought to the operating room, placed in supine position. Anesthesia was administered peripherally without difficulty. Patient was prepped and draped in the usual sterile fashion over the right groin area. A lacrimal probe was used and placed through the inferior sinus tract opening. It did track superiorly to the other area of past inflammation which was about a centimeter and half superior to this. The superior area was excised in elliptical fashion and the tract was then excised inferiorly. In order to excise the entire tract correctly, the incision had to be elongated inferiorly to connect to the 2 sinus areas and this was done and the entire sinus tract was excised using sharp dissection and electrocautery. This was down to good normal fatty tissue. The incision was then closed using a deep 3-0 dermal Vicryl suture. The skin was closed with 4-0 Monocryl subcuticular stitch.

4. Maria Nunez
   Posted 4 months ago #
   

   Sanjit, can you help me?

5. Maria Nunez
   Posted 4 months ago #
   

   Can anyone help me with this?

6. Maria Nunez
   Posted 4 months ago #
   

   Third request

7. Linda Gonsowski
   Posted 3 months ago #
   

   Maybe an I & D 10060 vs. 10180 if pt had a previous procdure. Or 56404 though these codes do not include closure. These are tricky to code.

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