Plan for incision was made in the right inguinal region overlying the area of the 2 lymph nodes that had been detected on lymph node mapping. At the site of the greatest counts on the Neoprobe, an incision was made after infiltration into the skin with 0.5% sensorcaine with epinephrine. The incision was carried down through the subcutaneous tissue and through the fascia overlying the lymph nodes. The Neoprobe was used to detect a lymph node and dissection of this lymph node was performed. The lymphatic channels were clipped with Hemoclips. The lymph node was then passed off the sterile field and sent to pathology…the wound was closed in layers using 3-0 vicryl for the deep dermis and 4-0 monocryl for the skin in a running subcuticular fashion.
Provider then goes on to do an excision of a lesion on the right inner thigh.
I would appreciate any help as to what CPT would be correct regarding this type of scenario.
KM