PLONDONM
Guest
- Messages
- 21
- Location
- COLUMBUS OHIO
an ortho surgeon had inserted a drain in the incision from a laminectomy. two days later the surgeon removed the drain, however the tip of the drain did not come out with the tubing of the drain. So the ortho surgeon went back in and removed the tip of the drain. 
basic op note: the patient is a 59-year old female who had surgery 2 days prior. upon removal of her drain it was found that part of the distal aspect of the catheter had not come out clean. i discussed this with the patient and her husband and we elected through return to the operating room for removal of her drain. cephald aspect of our incision was opened using sharp dissection. dissection was carried down to the thoracolumbar fascia. the was incised in the misline on the proximal aspect of the wound. the tip of her drain was noted and this was removed. the wound was irrigated without any complication. closure was commenced with watertight closure of the fascia. subcutaneous tissue was irrigated and reapproximated and staples were once again placed in the skin. sterile dressing was applied. the patient was transferred back to her hospital bed and on to the post anestihesia care unit in stable and satisfactory condition.
what you would code for this procedure. i chose 20525. ideas??? suggestions???
basic op note: the patient is a 59-year old female who had surgery 2 days prior. upon removal of her drain it was found that part of the distal aspect of the catheter had not come out clean. i discussed this with the patient and her husband and we elected through return to the operating room for removal of her drain. cephald aspect of our incision was opened using sharp dissection. dissection was carried down to the thoracolumbar fascia. the was incised in the misline on the proximal aspect of the wound. the tip of her drain was noted and this was removed. the wound was irrigated without any complication. closure was commenced with watertight closure of the fascia. subcutaneous tissue was irrigated and reapproximated and staples were once again placed in the skin. sterile dressing was applied. the patient was transferred back to her hospital bed and on to the post anestihesia care unit in stable and satisfactory condition.
what you would code for this procedure. i chose 20525. ideas??? suggestions???