Recent content by rgeib

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    Bladder Neck Contracture Dilation / attempted contracture incision

    Looking for some advice on the following: PREOPERATIVE DIAGNOSIS: Bladder neck contracture. POSTOPERATIVE DIAGNOSIS: Bladder neck contracture. OPERATION: Cystoscopy, bladder neck dilation, Foley placement, attempted bladder neck incision. INDICATIONS FOR SURGERY: The patient...
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    Cauterization (removal?) of SP polyp

    Looking for some advice on the following procedure: "The patient has a small superficial polyp-like granulomatous growths at the site of the SP tube insertion he would like to have it removed. On exam the patient has a 2 mm x 1 cm granulomatous polyp at the 9 o'clock position. Using initially...
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    Appendix epididymis removal

    Looking for a little help with the following scenario. The physician does a detorsion of the left testicle with fixation of both testicles after that. He also removes a left-sided appendix testes and a right sided appendix epididymis. So far, I've come up with 54600 for the detorsion/fixation...
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    PCNL with additional work (more than 50081?)

    Looking for some advice on the following (the relevant details are in bold): POSTOPERATIVE DIAGNOSIS: Left kidney stones. OPERATION: Left percutaneous nephrolithotomy. The patient has upper pole kidney stones, one of them more medially, approximately 14 mm to 15 mm greatest length on...
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    TURBT with ureteral biopsies

    Great! This helps a lot. Thank you.
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    TURBT with ureteral biopsies

    Looking for some advice on the following: OPERATION: Cystoscopy, transurethral resection of bladder tumor, right diagnostic ureteroscopy with biopsies of right distal ureter, right retrograde pyelogram, and right ureteral stent change. DESCRIPTION OF OPERATION: The patient was identified in...
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    Nephrouterostomy catheter anastomosis pass-through and curling around ileal conduit

    PREOPERATIVE DIAGNOSIS: Stricture at the right ureteroileal conduit anastomosis with right hydroureteronephrosis. POSTOPERATIVE DIAGNOSIS: Stricture at the right ureteroileal conduit anastomosis with right hydroureteronephrosis. OPERATION: Cystoscopy through ileal...
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    Laparoscopy/Laparotomy, reduction of stomach from chest

    Looking for some advice on the following: POSTOPERATIVE DIAGNOSIS: Gastric volvulus with cachexia ANESTHESIA: general anesthesia, single-lumen tube. OPERATION PERFORMED: Gatroscopy with lavage to remove barium followed by laparoscopy and led to laparotomy with mobilization of stomach out of...
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    33282 with 33284

    To answer you question, documentation states the battery is at the end of its life.
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    33282 with 33284

    Quick question re: LINQ recorders. If a patient is having a LINQ replaced, is it appropriate to code both 33284 and 33282 for the removal / replacement procedure? Or is the removal of the old inactive LINQ included in work of 33282? My encoder shows there is a bundling issue, but also states a...
  11. R

    Excision of right facial lipoma with facial nerve

    Having some difficulty choosing the correct codes for the following: PREOPERATIVE DIAGNOSIS: Right facial lipoma. POSTOPERATIVE DIAGNOSIS: Right facial lipoma. OPERATION: Excision of right facial lipoma with facial nerve dissection. FINDINGS: Surgical findings were consistent with a...
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    Excision of right facial lipoma with facial nerve

    Having some difficulty choosing the correct codes for the following: PREOPERATIVE DIAGNOSIS: Right facial lipoma. POSTOPERATIVE DIAGNOSIS: Right facial lipoma. OPERATION: Excision of right facial lipoma with facial nerve dissection. FINDINGS: Surgical findings were consistent with...
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    Scar Excision

    Having a little difficulty coding the following. I also posted it in the plastic surgery forum in order to get different perspectives on how to proceed: PROCEDURE PERFORMED: Wide local excision with frozen section margins of previously biopsied positive left cheek basal cell carcinoma and...
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    Scar excision

    Having a little difficulty coding the following: PROCEDURE PERFORMED: Wide local excision with frozen section margins of previously biopsied positive left cheek basal cell carcinoma and local reconstruction. INDICATIONS FOR SURGERY: This is a patient who initially presented to...
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    Umbilical cauterization / no granuloma present

    I am coding the following note: "(umbilical) cord off, healed. Hemorragic discharge. No granuloma. Cauterised with silver nitrate in office." Since there was no granuloma, my question is if 17250 is still appropriate or should I be looking at a destruction code? Any help would be appreciated...
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