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How would I code Bilobed submuscular flap under the nasalis muscle

Michael Posted Thu 20th of February, 2014 19:47:44 PM

The bilobed flap was fashioned using a laterally based flap from the left nasal artery. Lidocaine 1% with epinephrine was used to locally infiltrate the region. The patient was prepped and draped in the sterile fashion. A #15 blade was used to make an incision along the bilobed flap. Dissection was carried under the nasalis muscle for adequate vascularization. Transposition flap was then placed over the resulting defect and closed with 4-0 Vicryl and 5-0 nylon. Wedge excision performed to avoid trapdoor deformity inferiorly and the superior triangular portion of the donor flap was also resected in order to allow inset. Dressing placed. The patient was awoken, extubated, and sent in satisfactory condition.

Michael Posted Fri 21st of February, 2014 12:59:39 PM

14060? or 15732

SuperCoder Answered Thu 06th of March, 2014 18:02:20 PM

14060

When looking over your surgeon's operative notes, you can recognize adjacent tissue repairs by any of the following terms:

- A-T flap
- Z-plasty
- W-plasty
- V-Y plasty
- O-Z plasty
- Rotation flaps
- Single advancement flaps
- Double advancement flaps
- Rhomboid flaps
- Bilobed flaps
- Double pedicle flap

Bilobed Flap-A flap that is cut, lifted, and transferred over intervening tissue into the defect

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