Question

Excision of a basal cell carcinoma of the right nose and reconstruction with an advancement flap. The 1.2 cm lesion with an excised diameter of 1.5 cm was excised with a 15-blade scalpel down to the level of the subcutaneous tissue, totaling a primary defect of 1.8 cm. Electrocautery was used for hemostasis. An adjacent tissue transfer of 3 sq cm was taken from the nasolabial fold and was advanced into the primary defect. Signed surgeon signature.

a. 15574, c44.311
b. 14060, c44.311
c. 11642, 15115, c44.31
d. 11642, 14060. c44.310

Answer 1

The correct CPT code for the excision of a basal cell carcinoma and reconstruction with an advancement flap depends on the specific details of the procedure. It involves a code for the malignant lesion excision considering size and location, and a code for the adjacent tissue transfer. Current Procedural Terminology (CPT) manuals should be consulted for precise coding.

Step-by-step explanation:

The student's question pertains to the appropriate CPT code for the described procedure, which involves the excision of a basal cell carcinoma and reconstruction with an advancement flap. In this case, the coding would involve a code for the excision of skin lesion based on the size and location, as well as a code for the advancement flap, which is an adjacent tissue transfer.

Given the information provided, the most likely correct answer is the one that includes a code for excision of a malignant lesion of the face (which reflects the size of the lesion excised) and a code for the adjacent tissue transfer or rearrangement, including the advancement flap procedure. The code for the carcinoma is also specified with a diagnosis code referring to the skin cancer's location on the nose.

However, without current coding manuals or databases, I cannot provide the specific numerical codes. Current Procedural Terminology (CPT) codes should be referenced for the most accurate and updated information. Correct coding is vital for proper medical billing and record-keeping.