Elaine Posted Thu 22nd of March, 2012 18:56:04 PM
How would you code: After adequate general anesthesia was established, the patient's left neck was prepped and draped in a sterile fashion. A small horizontal incision was made on the inferior aspect of the submandibular mass to protect the marginal mandibular nerve. The skin incisions were made and carried down through the platysma muscle. Working under the platysma muscle in the direction of the submandibular gland, the mass was encountered and ruptured. Purulent contents were sent for cultre and sensitivity, acid fast bacteria and fungus. The contents of the cavity were then debrided and biopsied. This was done with a curette and hemostat. Adequate tissue samples were obtained and sent for permanent pathology. The area was then irrigated with copious amounts of sterile saline. A small penrose drain was placed and sutured into position with a 4-0 silk. The wound was closed in 2 layers; a platysma and subcutaneous later of interrupted 4-0 Vicryl and then a running subcuticular 4-0 Monocryl for the skin.
SuperCoder Answered Thu 22nd of March, 2012 20:11:31 PM
This is an excisional dedridement with a curette qualifies for 21040