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We got B08.4 (Enteroviral vesicular stomatitis with exanthem), but my doctor says that this code seems to reflect mostly on the stomatitis, but not the actual condition of the disease. Any better coding for this (systemic virus infection with manifestation on hand, foot and mouth)
Thank you.
Bamboo
"The radiographic films revealed that the patient had a lesion approximately 1/2 inch, approximately 1.5 cm below the floor of mouth, just slightly to the mid-line. An incision was made in the lingual frenulum area and it was approximately 1.5 cm to 2 cm in length. Then the floor of the mouth musculature was divided and the dissection carried down through the scar tissue, since the patient had had previous genioglossus surgery, down to the foreign body which was an extruded titanium screw, which had become extruded from the medial aspect of the symphysis. The patient actually had a small divot and radiolucency in the jaw where this titanium screw had been extruded. Very carefully, the screw was removed with its associated Prolene, which was still approx. 3 cm in length and removed from the floor of mouth"
Should I use the unlisted code 41599 (unlisted procedure, tongue, floor of mouth) – My initial thought was 40805, but that seems to be more for the vestibule of mouth (nothing in that description says floor of mouth).
Thanks for any and all help
Lori