Operаtive RepоrtDiаgnоsis: Bаsal Cell CarcinоmaProcedure: Mohs micrographic excision of skin cancer.Site: Face left lateral upper canthus eyelidPre-operative size: 0.8 cmIndications for surgery: Area of high recurrence, area of functional and/or cosmetic importance. Discussed procedure including alternative therapy, expectations, complications, and the possibility of a larger or deeper defect than expected requiring significant reconstruction. Patient’s questions were answered. Local anesthesia 1:1 Marcaine and 1% Lidocaine with Epinephrine. Sterile prep and drape.Stage 1: The clinically apparent lesion was marked out with a small rim of normal appearing tissue and excised down to subcutaneous fat level with a defect size of 1.2 cm. Hemostasis was obtained and a pressure bandage placed. The tissue was sent for slide preparation. Review of the slides show clear margins for the site.Repair: Complex repair. Repair of Mohs micrographic surgical defect. Wound margins were extensively undermined in order to mobilize tissue for closure. Hemostasis was achieved. Repair length 3.4 cm. A layered closure was performed. Multiple buried absorbable sutures were placed to re-oppose deep fat. The epidermis and dermis were re-opposed using monofilament sutures. There were no complications; the patient tolerated the procedure well. Post-procedure expectations (including discomfort management), wound care and activity restrictions were reviewed. Written Instructions with urgent contact numbers given, follow-up visit and suture removal in 3-5 daysWhat CPT® and ICD-10-CM codes are reported?
Mаrge runs а hаir salоn and has estimated that her prоductiоn function is given by Q = KL, where Q is output (number of haircuts per day), K is capital (number of hair dryer hours per day), and L is labor (number of person hours per day). For this production function, the marginal product of labor is MPL = K, and the marginal product of capital is MPK = L, The price of labor (wage) is $10 per hour and the price of capital (rental price for hair dryers) is $25 per hour. Determine Marge’s cost minimizing output combination if she wants to produce 40 haircuts per day. Also find her total cost. Show all your work. Credit based only on work shown. Online exam takers: Leave the field below blank. Score will be based on the photo / pdf of your work.