kae108
New
I am struggling to distinguish between 54344 vs 53415 vs 53520 vs 54326. There have to be some nuances to these codes that I do not understand. Can anyone point out the specific differences please?
Indication for operation: male with history of perineal abscess with urethral involvement. He presents today for urethroplasty to close the persistent urethrocutaneous fistula
Preoperative diagnosis: Urethrocutaneous fistula ; urethral injury
Postoperative diagnosis: Same
Findings: 3 layer closure of the mid bulbar urethra performed
Operation performed: Urethroplasty, 1 stage
Description of operation: After informed consent was obtained, the patient was brought back to operating room and underwent general endotracheal anesthesia. He was placed in the lithotomy position. His genitalia and perineum was prepped and draped in a sterile surgical manner after removal of the existing Foley catheter. A time-out was performed.
A 20 French Foley catheter was then placed into the urethra advanced into the bladder. He was noted have a traumatic hypospadias secondary to his chronic Foley catheter. The urethrocutaneous fistula opening was then elongated by 1 centimeter and cutaneous flaps were performed to allow closure of the fistula tract. The using mucosa was then reapproximated using 3-0 Vicryl in interrupted and running fashion. The deep dermal layer was closed using 2-0 Vicryl in running fashion. The skin was then reapproximated using 2-0 Monocryl in a running fashion.
Indication for operation: male with history of perineal abscess with urethral involvement. He presents today for urethroplasty to close the persistent urethrocutaneous fistula
Preoperative diagnosis: Urethrocutaneous fistula ; urethral injury
Postoperative diagnosis: Same
Findings: 3 layer closure of the mid bulbar urethra performed
Operation performed: Urethroplasty, 1 stage
Description of operation: After informed consent was obtained, the patient was brought back to operating room and underwent general endotracheal anesthesia. He was placed in the lithotomy position. His genitalia and perineum was prepped and draped in a sterile surgical manner after removal of the existing Foley catheter. A time-out was performed.
A 20 French Foley catheter was then placed into the urethra advanced into the bladder. He was noted have a traumatic hypospadias secondary to his chronic Foley catheter. The urethrocutaneous fistula opening was then elongated by 1 centimeter and cutaneous flaps were performed to allow closure of the fistula tract. The using mucosa was then reapproximated using 3-0 Vicryl in interrupted and running fashion. The deep dermal layer was closed using 2-0 Vicryl in running fashion. The skin was then reapproximated using 2-0 Monocryl in a running fashion.