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Problem
Outpt. Op Note- Nevus Excision Pt: Justin Timberlake Provider: Bruce Springsteen, MD ICD: Justin presents with a congenital nevus that is large and raised. This nevus is located on the back of his right arm. It does not appear to be a giant nevus but is raised and has color/pigment. Pre and Post Op Dx: backside of arm congenital compound nevus. Findings: Upon examination, Justin has a pigmented, raised, hairy lesion on the back of his arm. The lesion is approximately 1.52 cm's and is down into the insertion of his deltoid muscle. Px: The provider removed the nevus by excision Detail: Patient was put under general anesthesia and his arm was prepped and draped. The surgeon cut an elliptical diagonal angle superficially and down to subcut. The bleeding was managed with cautery. The wound was then closed with 3-0 Monocryl sutures. Dressing was applied and the pt. was in good condition with zero blood loss. Path Report: Benign tissue what is the CPT code and ICD code.
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