CPT® 4 and modifier

LOCATION: Outpatient, Hospital

PATIENT: Roger Adams

SURGEON: Gary Sanchez, MD

PREOPERATIVE DIAGNOSIS: Malignant melanoma, mid-chest (1 cm)

POSTOPERATIVE DIAGNOSIS: Malignant melanoma, mid-chest (1 cm)

PROCEDURE PERFORMED: Wide excision of malignant melanoma, mid-chest

PROCEDURE: The mid-chest was prepped, draped, and cleaned with Betadine solution. A margin of 2 cm laterally and medially around the lesion site was taken. The incision was carried down to the muscle fascia, which was included in the specimen. Bleeding was controlled by electrocautery, and we closed the defect with the running subcuticular 4-0 undyed Vicryl using layered closure. Steri-strips and a sterile bandage were applied. The patient tolerated the procedure well.
PATHOLOGY REPORT LATER INDICATED: Malignant melanoma

Identify the correct procedure (CPT-4) code(s) for the above scenario?

CPT-4: __________,

CPT-4: __________ Modifier: __________

re: CPT® 4 and modifier

LOCATION: Outpatient, Hospital
PATIENT: Roger Adams

SURGEON: Gary Sanchez, MD

PREOPERATIVE DIAGNOSIS: Malignant melanoma, mid-chest (1 cm)

POSTOPERATIVE DIAGNOSIS: Malignant melanoma, mid-chest (1 cm)

PROCEDURE PERFORMED: Wide excision of malignant melanoma, mid-chest

PROCEDURE: The mid-chest was prepped, draped, and cleaned with Betadine solution. A margin of 2 cm laterally and medially around the lesion site was taken. The incision was carried down to the muscle fascia, which was included in the specimen. Bleeding was controlled by electrocautery, and we closed the defect with the running subcuticular 4-0 undyed Vicryl using layered closure. Steri-strips and a sterile bandage were applied. The patient tolerated the procedure well. PATHOLOGY REPORT LATER INDICATED: Malignant melanoma

Identify the correct procedure (CPT-4) code(s) for the above scenario?

CPT-4: __________,

CPT-4: __________ Modifier: __________



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