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how do you code this

Angelica Posted Wed 23rd of January, 2013 19:36:23 PM

Reconstruction with a glabellar and dorsal nasal inferior pedicle rhomboid flap.
The excision
was taken deeply to the subcutaneous tissue. Once the lesion
was completely excised, a suture was placed on the 12 o'clock
margin and this was sent for permanent pathological evaluation.
Once this was done, fresh frozen sections were sent for
analysis. Specifically, we sent frozen sections 12, 3, 6, and 9
o'clock margins as well as deep margins. All the frozen
sections were negative for tumor. At this juncture we proceeded
to the elevation of the flap. An inferiorly based flap from the
glabella/upper dorsum of the nose was designed. The flap was
harvested with a 15 blade and tenotomy scissors. The defect
measured approximately 1.4 x 1.3 cm. The flap dimensions were
essentially identical to the defect. The flap was elevated.
The surrounding skin was gently undermined and the wound was
irrigated and meticulous hemostasis was achieved. The flap was
then transposed and sutured in a layered fashion. Deeply, we
used a combination of 4-0 and 3-0 Monocryl and superficially we
used 5-0 fast-absorbing gut.

SuperCoder Answered Wed 23rd of January, 2013 19:51:36 PM

Please contact customer service for this.

Manney at 866-228-9252 Extn : 4165


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