DonnaA_43539
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Need help with cpt for this surgery, I believe 42107, but center approved 21030 & 14040.
Recurrent trauma to roof of the mouth. Pt has developed a large bony protuberance in this area along with central ulceration. They were felt to benefit from Excision of this.
Anesthesia Service using the GlideScope intubation and and oral RAE tube. At this point a MCivor mouth gag was inserted into the oral cavity and used to hold the orotracheal tube out ot the operative field and hold the mouth open. This allowed exposure of the roof of the mouth. The area was injected with approximately 3 mL or lidocaine and epinephrine the bony protuberance. Using a series of periosteal elevators the mucosa was advanced off this area and the bony mass was exposed. Next, using a 4 mm conical burr consistent with pineapple burr on the pneumatic drill, the bony mass was excised. It was excised flush to the remaining portion of the hard palate. No palate fistula was created. At this point, hemostasis was achieved with Bovie Cautery. The mucosal advancement flaps were elevated and reapproximated back to midline with chromic suture.
Thank You for any Confirmation on this.
Recurrent trauma to roof of the mouth. Pt has developed a large bony protuberance in this area along with central ulceration. They were felt to benefit from Excision of this.
Anesthesia Service using the GlideScope intubation and and oral RAE tube. At this point a MCivor mouth gag was inserted into the oral cavity and used to hold the orotracheal tube out ot the operative field and hold the mouth open. This allowed exposure of the roof of the mouth. The area was injected with approximately 3 mL or lidocaine and epinephrine the bony protuberance. Using a series of periosteal elevators the mucosa was advanced off this area and the bony mass was exposed. Next, using a 4 mm conical burr consistent with pineapple burr on the pneumatic drill, the bony mass was excised. It was excised flush to the remaining portion of the hard palate. No palate fistula was created. At this point, hemostasis was achieved with Bovie Cautery. The mucosal advancement flaps were elevated and reapproximated back to midline with chromic suture.
Thank You for any Confirmation on this.