RondaPaulson
New
My provider performed a repair of peritoneal cutaneous fistula and was wondering what CPT code to use for the this.
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Wiki GYN surgery question
- Thread starter RondaPaulson
- Start date
nielynco
True Blue
It would be helpful if you could share the op note for this procedure.
RondaPaulson
New
PREOPERATIVE DIAGNOSIS: peritoneal cutaneous fistula
POSTOPERATIVE DIAGNOSIS: peritoneal cutaneous fistula
PROCEDURES: repair of peritoneal cutaneous fistula
SURGEON:
ASSISTANT:
Anesthesia: general
DESCRIPTION OF PROCEDURE: The patient was taken to the operating room. Following satisfactory general anesthesia, she was prepped and draped in the usual manner for sterile abdominal procedures. At the right lateral trocar site, there was a pinhole opening draining ascitic fluid. The skin incision was opened up and extended to allow exploration. A lacrimal duct probe was used to find the fistula tract. Dissection was carried down to the fascia. There was an 8 mm defect in the fascia due to the trocar site. The fistula tract was excised and the fascial edges freshened. The fascia was closed in 2 layers of 0 prolene. No ascitic leakage was noted. The subcutaneous tissue was closed with 2-0 PDS. The skin was closed with 3-0 monocryl. Pressure dressing was applied. .
Patient was taken to recovery room in stable condition. EBL 2 cc. Sponge and needle count correct X 2.
POSTOPERATIVE DIAGNOSIS: peritoneal cutaneous fistula
PROCEDURES: repair of peritoneal cutaneous fistula
SURGEON:
ASSISTANT:
Anesthesia: general
DESCRIPTION OF PROCEDURE: The patient was taken to the operating room. Following satisfactory general anesthesia, she was prepped and draped in the usual manner for sterile abdominal procedures. At the right lateral trocar site, there was a pinhole opening draining ascitic fluid. The skin incision was opened up and extended to allow exploration. A lacrimal duct probe was used to find the fistula tract. Dissection was carried down to the fascia. There was an 8 mm defect in the fascia due to the trocar site. The fistula tract was excised and the fascial edges freshened. The fascia was closed in 2 layers of 0 prolene. No ascitic leakage was noted. The subcutaneous tissue was closed with 2-0 PDS. The skin was closed with 3-0 monocryl. Pressure dressing was applied. .
Patient was taken to recovery room in stable condition. EBL 2 cc. Sponge and needle count correct X 2.
nielynco
True Blue
In my opinion this will have to be an unlisted code. If it had occurred on the breast the code would have been 19112. There is no equivalent code to this for a fistula only to the fascia via an abdominal incision and 49000 is a very high valued code in comparison to the work involved. You might consider 22999 as your unlisted code and compare the work to 19112. It is the only unlisted code that seems to come close to the surgical work area.