She had a definitive s/l blide local excision performed.
Posted By: MSmt on 2009-03-13
In Reply to:
Subject: She had a definitive s/l blide local excision performed.
In a patient with vaginal melanoma. Any suggestions?
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Wide (local) excision
Subject: Wide (local) excision
to excise a cancerous lesion on the nose?
Podiatrist says performed an excision of a s/l "poracatoma."
Subject: Podiatrist says performed an excision of a s/l "poracatoma."
x
Local MAC is local with monitored anesthesia care. nm
Subject: Local MAC is local with monitored anesthesia care. nm
.
this is a perfect example of why finding your own definitive
Subject: this is a perfect example of why finding your own definitive
from a variety of people with different opinions. I am sure that with good research, you will find the correct answers. I also feel that everyone who answered you felt they were more correct than those whose answers contracted thei own.
I cannot find any definitive way of judging the values, but I can only assume that these are each se
Subject: I cannot find any definitive way of judging the values, but I can only assume that these are each separate, therefore, I would put it as 18, 6, 01. Just me though...
Pleurovac/Pleuravac?? Can't find definitive answer for this one.
Subject: Pleurovac/Pleuravac?? Can't find definitive answer for this one.
a local anesthetic?
Subject: a local anesthetic?
Coulld it be bupivicaine?
Local MAC anesthesia?
Subject: Local MAC anesthesia?
How should Local MAC betranscribed? I can't verify in my books or online. thanks for your help
figured it out... MAC and local
Subject: figured it out... MAC and local
drip
Local anesthesia? nm
Subject: Local anesthesia? nm
local ablator?
Subject: local ablator?
I know it's being used to ablate the synovitis in the shoulder. For some reason, the docs this PM seem to be hungry, as they have half the phone swallowed...
Thanks!
Could it be a local restaurant or something? nm
Subject: Could it be a local restaurant or something? nm
xx
Maybe local and IV anesthesia? It's usually something minor
Subject: Maybe local and IV anesthesia? It's usually something minor
s
local bone allograft with 12 mg of s/l BNP and s/l 10
Subject: local bone allograft with 12 mg of s/l BNP and s/l 10
x
Local injection prep
Subject: Local injection prep
I am stumped on the prep material being used- "the posterior aspect of her left shoulder is well prepped with something ending in "quin" sounds like ciproquin or siproquin? and injected with 2.5 cc of 0.5% sensorcaine, 2.5% cc of 2% lidocaine and 80 mg depo-medrol. Any ideas what the injection site is preppred with?
It's likely hospital specific or the name of a local SNF. n/m
Subject: It's likely hospital specific or the name of a local SNF. n/m
Are they ESL? Maybe it's local field block. n/m
Subject: Are they ESL? Maybe it's local field block. n/m
*oscopy was performed. ??
Subject: *oscopy was performed. ??
The beginning of this word is cut off. All I can hear is "oscopy" was performed that showed internal hemorrhoids.
Would this be "endoscopy" ?? Any help appreciated!
"Y" excision of melanoma?
Subject: "Y" excision of melanoma?
Anyone heard of this? Sounds like "Y" excision, but I can't find it.
Thanks!!
Sure this is not the name of the facility performed at?
Subject: Sure this is not the name of the facility performed at?
MRI at Open Imaging of Redwood?
Lipoma excision
Subject: Lipoma excision
This is what the doc dictates, though I'm not sure about the word lips, do you think this is right? It is a posterior thigh lipoma that is being excised.
a transverse curvilinear lips of skin was excised.
Thanks for any help.
excision-debridment
Subject: excision-debridment
That's right. It's in AMA CPT mannual. CPT code 11012 is excision-debridment skin, subcutaneous tissue, muscle fascia, muscle, and bone.
Excision of lipoma
Subject: Excision of lipoma
Dictated it sounds like this "The HCC is 0 sanguinoma removed from the lipoma site without evidence of any infection."
Any ideas on the 0 sanguinoma?
Thank you,
Procedures... would these be performed by MD or DDS?
Subject: Procedures... would these be performed by MD or DDS?
Cricopharyngeal myotomy and swallowing study.
says pt was taken to the or for excision arthroplasty
Subject: says pt was taken to the or for excision arthroplasty
placement of antibiotic s/l latent, weighted? spacer.
Help
s/l pan-cystoscopy was performed
Subject: s/l pan-cystoscopy was performed
I've never had a prefix added to cystoscopy. Does this make sense?
OP scalp excision.
Subject: OP scalp excision.
Pre and postoperative diagnosis is Two ??_______ of scalp. It sounds like it starts with a W. The operation is excision of these two things. A small incision is made over each one and they are extracted. s/l maybe wins or wans.
could be tangential excision....nm
Subject: could be tangential excision....nm
nm
excision of diverticulum
Subject: excision of diverticulum
for the colitis patient has
Do you have the name of the procedure performed?
Subject: Do you have the name of the procedure performed?
He says it as the procedure performed
Subject: He says it as the procedure performed
"Port: Right IJ single-lumen power port."
Stuff like this makes me look bad and also paranoid. The suits only look at QA scores, that type of thing, and never how crappy the report was.
It's just one of those nights.
Thanks so much...
s/l dermatonoma excision
Subject: s/l dermatonoma excision
Doctor says under surgery: status post (s/l dermatonoma excision) but I can't find anything on Google or my books. Any advice or suggestions would be great.
Maybe ....laser excision? n/m
Subject: Maybe ....laser excision? n/m
YW! Still thinking. intervention? It could be a local proper name. nm
Subject: YW! Still thinking. intervention? It could be a local proper name. nm
x
Might be local MAC. Hear MAC anesthesia frequently. nm
Subject: Might be local MAC. Hear MAC anesthesia frequently. nm
s
Hammertoe local anesthesia - H-block?
Subject: Hammertoe local anesthesia - H-block?
This is for a hammertoe OP report: .......2% lidocaine plain and 0.5% Marcaine plain were administered in an ________ block fashion. s/l "H" as in H-block, but I can't confirm. Does that stand for 'hammertoe block"........ or am I hearing it all wrong?
Laguna
Demon local mass effect?
Subject: Demon local mass effect?
CT of the head...showed no increased....demon local mass effect??? Anybody have a clue?
is it the name of a local hospital or scanning center?
Subject: is it the name of a local hospital or scanning center?
x
Found it - program at a local hospital.
Subject: Found it - program at a local hospital.
Local anesthesia to the foot utilizing
Subject: Local anesthesia to the foot utilizing
a [s/l Mayo, MAO, or male] as well as a reverse [s/l Mayo, MAO, or male] technique. I've google all three of these but can't find a match. Thanks for any help!
maybe interphalangeal (joint) excision?...
Subject: maybe interphalangeal (joint) excision?...
x
s/l "boris" triangel excision
Subject: s/l "boris" triangel excision
I think it's Burow's triangle excision
Subject: I think it's Burow's triangle excision
Can you hear "wide" excision?
Subject: Can you hear "wide" excision?
As the type of operation being performed
Subject: As the type of operation being performed
Debridement of nonunion, right distal femur with bone grafting (cancellous chips allograft and INFUSE BMP bone grafting).
I am asking because I found it 3 different ways and thus my confusion.
mammiwire??? localization and excision.
Subject: mammiwire??? localization and excision.
The patient has papilloma of the right breast. Mammiwire? is the type of procedure being performed. Thanks
A cardiac cath is usually performed
Subject: A cardiac cath is usually performed
through the femoral artery that runs past the knees.
L4-5 far lateral disk excision
Subject: L4-5 far lateral disk excision
sounds like widens excision
Subject: sounds like widens excision
Maybe pending as in ordered, but not yet performed?
Subject: Maybe pending as in ordered, but not yet performed?
May we have the sentence please and the procedure being performed?
Subject: May we have the sentence please and the procedure being performed?
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