This is my first time posting! I am in need of help with coding the excision of elbow bursal cutaneous fistula. The op note reads…

An elliptical incision was marked around the small bursal cutaneous tract and this was after the ellipse was marked out to excise this. Then,
10 mL of 1% lidocaine with epinephrine was infiltrated into the skin and subcutaneous tissues. At this point, full-thickness ellipse of skin was resected down to the olecranon bursa. Olecranon bursa showed some steroid white chalky deposits that were noted, some of these were excised as
well and a small portion of the bursa was also excised. The fistula tract appeared to come with the skin and this was excised as well. The bursal area was then thoroughly irrigated and closed using interrupted 3-0 nylon sutures and a sterile dressing was applied with a compression dressing.

I am at a loss on this one. Thanks for your help, Lisa