maxwell@marshall.edu
Contributor
Can't find a code to fit. There was on incision made just an exam under anesthesia
NOTE:
in the supine position under general inhalational anesthesia, prior to prepping the patient we assessed his inguinal scrotal region bilaterally. in the supine position, he was relaxed and his airway manged by anesthesia and a bit of sedation was given. we were able to idnetify both testes within the inguinal canals and they were retrievable and would deliver to their dependent scrotal compartments. both were retactile and very small almost infantile. our final assessment was bilateral retractile testes. at this point, anesthesia was instructed to recover the patient and we took the pt to PACU.
I'm thinking that this needs to be coded as an E/M instead of surgical code? Any thoughts?
Thank you
NOTE:
in the supine position under general inhalational anesthesia, prior to prepping the patient we assessed his inguinal scrotal region bilaterally. in the supine position, he was relaxed and his airway manged by anesthesia and a bit of sedation was given. we were able to idnetify both testes within the inguinal canals and they were retrievable and would deliver to their dependent scrotal compartments. both were retactile and very small almost infantile. our final assessment was bilateral retractile testes. at this point, anesthesia was instructed to recover the patient and we took the pt to PACU.
I'm thinking that this needs to be coded as an E/M instead of surgical code? Any thoughts?
Thank you