rkindlund
Guest
I could use some help here with both ICD9 and CPT codes for this. Doc said it was a "PEG tube repair" but I can't find a good code for that and it doesn't really read quite that way either.
PROCEDURE: Exploration of wound with ligation of superior epigastric vessel and incision and drainage of abdominal wall abscess.
SPECIMENS: Culture of pus from the abdominal wall.
DETAILS OF PROCEDURE: The patient was brought to the operating room, prepped
and draped in a standard sterile fashion. He received 2 grams of IV Ancef on
induction of anesthesia. After injecting 0.25% Marcaine with epinephrine, I
made a skin incision longitudinally right next to the gastrostomy tube just
superior and inferior to, but a little bit more inferiorly. I dissected down to
the abdominal wall. I did drain the abscess cavity and then right near where
the tube was going into the abdominal wall at the level of the muscle, I saw a
bleeding vessel. This was expected to be a branch of the superior epigastric
vessel. I did ligate this and achieve good hemostasis, I then did place
FloSeal at the wound. Electrocautery also was used for good hemostasis and then
I reapproximated the incision with skin staples. The patient tolerated the
procedure well.
PROCEDURE: Exploration of wound with ligation of superior epigastric vessel and incision and drainage of abdominal wall abscess.
SPECIMENS: Culture of pus from the abdominal wall.
DETAILS OF PROCEDURE: The patient was brought to the operating room, prepped
and draped in a standard sterile fashion. He received 2 grams of IV Ancef on
induction of anesthesia. After injecting 0.25% Marcaine with epinephrine, I
made a skin incision longitudinally right next to the gastrostomy tube just
superior and inferior to, but a little bit more inferiorly. I dissected down to
the abdominal wall. I did drain the abscess cavity and then right near where
the tube was going into the abdominal wall at the level of the muscle, I saw a
bleeding vessel. This was expected to be a branch of the superior epigastric
vessel. I did ligate this and achieve good hemostasis, I then did place
FloSeal at the wound. Electrocautery also was used for good hemostasis and then
I reapproximated the incision with skin staples. The patient tolerated the
procedure well.