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MicroCystic lymph malform-right upper extremity, chestwall & trnk

Date: Feb 4, 2020

Question:

Can you assist in coding this type of case? What about code 37241 or 49185 for the cystic malformation arm? I'm not sure where to start for the laser that was performed. "Under ultrasound guidance multiple lymphatic microcysts within the soft tissues of the right posterior elbow right mid arm and right medial elbow were cannulated with a 25-gauge needle followed by injection of bleomycin in a concentration of 1.5 units per mL. A total of 15 units of bleomycin was injected. Followed by surface laser treatment of multiple cutaneous lymphatic vesicles over the right arm and right chest wall and flank. Laser Parameters ND YAG laser (Venacure, Angiodynamics) 1470 nm: 2876J, 719 sec, 4 watts."

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