TanBro
Networker
Patient was consented and taken to the operating room. After induction of adequate general anesthetic, sterilely prepped and draped in the dorsal lithotomy position. There was pedunculated granulation tissue at the perineum and off to her right. There was granulation tissue along the midline where the previous episiotomy/incision were. Allis clamps were used along the lateral aspects of the normal vaginal mucosa to elevate this and excise the granulation tissue and the underlaying scar. The was sent to Pathology. Cautery was used where necessary for hemostasis in the subcutaneous tissue. Interrupted sutures of 0 vicryl were used to reapproximate the subcutaneous tissue. The vaginal mucosa was closed with interrupted 0 vicryl sutures alond the vaginal mucosa and down to the level of the perineum. Defect closed. Hemostasis present. Estimated blood loss 30 ML.
So, my question is on the perineal and posterior defect repair. Since it was similar to a posterior repair would I use 57260? Or is there a better code I'm not finding? I know the granulation tissue removal is going to be an unlisted 58999 with compared work 57135. Any advice would be appreciated.
So, my question is on the perineal and posterior defect repair. Since it was similar to a posterior repair would I use 57260? Or is there a better code I'm not finding? I know the granulation tissue removal is going to be an unlisted 58999 with compared work 57135. Any advice would be appreciated.