Assignment task:
Indications for Surgery: The patient is a 72-year-old male with a biopsy-proven squamous cell lesion of his left forearm. With his permission, I marked my planned excision and my best guess at the resultant scar, which included a rhomboid flap repair. The patient observed these markings in a mirror, so he could understand the surgery, agree on the location and 1 proceeded.
Description of Procedure: The patient was given 1 g of IV Ancef. The area was infiltrated with local anesthetic. The forearm was prepped and draped in a sterile fashion. I excised this lesion measuring 1.2 cm diameter as drawn into the subcutaneous fat. A suture was used to mark this specimen at its proximal tip and this was labeled at 12 o'clock. Negative margins were then given. Meticulous hemostasis was achieved using a Bovie cautery. I incised my planned rhomboid flap measuring 2cm x 2cm. I elevated the flap with a full-thickness of skin and subcutaneous fat. The total defect size was 5.44 sq cm. The flap was rotated into the defect and the donor site was closed and the flap was inset in layers using 4-0 Monocryl and 5-0 prolene. Loupe magnification was used throught the procedure and the patient tolerated the procedure well what are correct CPT code(s) to report for the example? Need Assignment Help?
- 14040
- 14020, 11602-51
- 14020
- 14021