AMA CPT® Assistant - 2016 Issue 4 (April)

Electrosurgical Removal of Neurofibromas (0419T-0420T) (April 2016)

April 2016 page 3 Electrosurgical Removal of Neurofibromas (0419T-0420T) Neurofibromatosis Type 1 (NF1) is a rare disorder that is typically the result of de novo autosomal dominant mutations. Neurofibromas are composed principally of Schwann cells, fibroblasts and stromal collagen, some nerve axons, and scattered mast cells. The tumors range in size from a few millimeters to over 30 centimeters. A given patient may have a scattering of a few visible neurofibromas to hundreds of functionally and psychosocially debilitating neurofibromas. Individual neurofibromas may be excised or destroyed with electrosurgical, laser or radiofrequency ablative techniques. An electrosurgical technique for removing large...

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