49002-58, 47362-58, 58940-58, 10140-58, 97608

nlbarnes

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Previous day, pt had atrial septal defect repair. She subsequently developed coagulopathy & hemorrhage shock.

Earlier in the day, surgeon took her to the OR & performed exploratory laparotomy, control of liver hemorrhage w/ packing & VAC placement.

This surgery in question:
Abdominal wall had some bleeder which were controlled w/ electrocautery.
Sponge of VAC & abd reexplored.
Oopherectomy was done.
Liver packs were then removed & revious hemostatic attempt was re-evaluated. Medial aspect of the subcapsular tear still oozing w/ clots. Clots removed. Surface of liver was cauterized & new packs of Surgicel & Fibrillar were placed. New lap pads were applied.
Replaced a new ABThera VAC.

Surgeon has a quantity 2 of 47362 (acutally, he chose 47361 x 2. Am I missing something with the liver x 2?
 
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