574coding
Guru
What codes would you use for this procedure? 11005, 62365, 11008 or 10180, 62365, 11008? Thank you
Operation performed: Revision of intrathecal pump
INDICATION: The patient comes in for the above mentioned procedure. Patient has possible infected old abdomen intrathecal pump with mesh, need to be removed.
I have discussed this with patient in detail. Patient understands and agreed with it.
TYPE OF ANESTHESIA: Endotracheal intubation, General
INDICATION FOR ANESTHESIA: The patient received anesthesia for airway management, inability to stay still during this intervention, severe anxiety and pain control. The patient agreed with this plan.
COMPLICATIONS: None.
ESTIMATED BLOOD LOSS: None.
PROCEDURE NOTE: The patient was interviewed and examined. The risks, benefits and possible complications of this procedure including but not limited to infection, bleeding, injury to the nerves were explained to the patient. The patient understood these and consented to the procedure. At this point, the patient had an IV Hep-Lock placed and was brought to the operating suite and placed in the supine position. The patient was incubated by Anesthetist. The patient was appropriately monitored and anesthetized by anesthetist. Overall, the patient remained stable throughout the procedure.
The abdominal area over intrathecal pump area was prepped and draped in a sterile fashion. The skin and subcutaneous tissues over the intrathecal pocket area were anesthetized with equal mixture of 1% lidocaine and 0.25% of Marcaine. The skin was incised using a knife. Using cautery, dissection was carried out to open pocket. Fluid from the pocket was aspirated through suction. The intrathecal pump was freed from the surrounding tissue and mess, it was removed from the pocket after disconnecting from the catheter and connector.Catheter was cut, disconnected, and closed with suture. Extensive disection was conducted to removed mesh, and possibel infected tissues. Antibiotic irrigation was done.
The pocket was then closed in layers using 2-0Vicryl sutures and
skin was closed using staple. Surgical drain was attached to abdomen wall. Steristrips placed. Sterile dressings was applied. The patient was then brought to the recovery area The patient was given post operative antibiotics and will follow up for wound check in few days. There were no early adverse effects. The patient remains stable through out the procedure.
Operation performed: Revision of intrathecal pump
INDICATION: The patient comes in for the above mentioned procedure. Patient has possible infected old abdomen intrathecal pump with mesh, need to be removed.
I have discussed this with patient in detail. Patient understands and agreed with it.
TYPE OF ANESTHESIA: Endotracheal intubation, General
INDICATION FOR ANESTHESIA: The patient received anesthesia for airway management, inability to stay still during this intervention, severe anxiety and pain control. The patient agreed with this plan.
COMPLICATIONS: None.
ESTIMATED BLOOD LOSS: None.
PROCEDURE NOTE: The patient was interviewed and examined. The risks, benefits and possible complications of this procedure including but not limited to infection, bleeding, injury to the nerves were explained to the patient. The patient understood these and consented to the procedure. At this point, the patient had an IV Hep-Lock placed and was brought to the operating suite and placed in the supine position. The patient was incubated by Anesthetist. The patient was appropriately monitored and anesthetized by anesthetist. Overall, the patient remained stable throughout the procedure.
The abdominal area over intrathecal pump area was prepped and draped in a sterile fashion. The skin and subcutaneous tissues over the intrathecal pocket area were anesthetized with equal mixture of 1% lidocaine and 0.25% of Marcaine. The skin was incised using a knife. Using cautery, dissection was carried out to open pocket. Fluid from the pocket was aspirated through suction. The intrathecal pump was freed from the surrounding tissue and mess, it was removed from the pocket after disconnecting from the catheter and connector.Catheter was cut, disconnected, and closed with suture. Extensive disection was conducted to removed mesh, and possibel infected tissues. Antibiotic irrigation was done.
The pocket was then closed in layers using 2-0Vicryl sutures and
skin was closed using staple. Surgical drain was attached to abdomen wall. Steristrips placed. Sterile dressings was applied. The patient was then brought to the recovery area The patient was given post operative antibiotics and will follow up for wound check in few days. There were no early adverse effects. The patient remains stable through out the procedure.