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Removal of Lesion from Left Nasal Vestibule

Deanna Posted Tue 17th of September, 2013 12:40:38 PM

I need help with the following in-office procedure. I have been going back and forth between 30117 vs 11440.

There is a warty papilloma in the left nares on the lateral vestibular wall that is about 2 mm.

REMOVAL OF LESION FROM LEFT NASAL VESTIBULE:
Following appropriate consent. 2 cc of infiltration anesthesia with 2% Lidocaine with epi and sodium bicarb given. After adequate time for anesthetic effect, lesion was excised with a 15 blade. Bipolar cautery was used to cauterize the base.. No active bleeding. Patient tolerated procedure well. Instructions given. Lesion sent for pathology.

Thanks so much!

SuperCoder Answered Tue 17th of September, 2013 19:30:41 PM

The physician can use several techniques when he perform a destruction or excision of an intranasal lesion via the internal approach. Techniques that are used are laser, cryo/ liquid nitrogen, chemical, or other methods. Once the lesion is destroyed, antibiotics are applied and the wound is generally left open to heal.

"LESION FROM LEFT NASAL VESTIBULE" leads to 30117 only

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