catharine
Networker
I'm trying to find a code for "radical supracolic omentectomy and resection of splenogastric and splenophrenic ligaments."
This was done in conjunction with an Omentectomy and placement of a peritoneal port. these were all done open. I'm thinking its included with the omentectomy or is an unspecified code but have no idea what the comparative would be. Here's a summary of the operative procedure.
"Upon entering the abdomen, a 2 mm miliary spread of peritoneal
carcinomatosis was observed on most of the surfaces including the
anterior abdominal wall, the pelvic side walls, the bowel, the surface
of the liver and the right hemidiaphragm. The omentum had 5-6 mm
nodules on it, only the supracolic omentum was left. The splenogastric
and splenophrenic ligaments also had 5-6 mm nodules, so all of these
were removed. There was a 6 mm umbilical hernia that was removed and
the fascia was freshened up and the hernia was closed. A peritoneal
port was placed and irrigated and confirmed patent. At the end of the
operation, the patient received epinephrine and Robinul in order to
raise her blood pressure so that we could check for hemostasis. The
irrigation fluid was repeatedly clear even during the final irrigations
during the induced hypertension. The sponge and instrument counts were
correct at the end of the operation and there was no suspicion of
enterotomy and no suspicion of urologic injury."
Thanks so much.
This was done in conjunction with an Omentectomy and placement of a peritoneal port. these were all done open. I'm thinking its included with the omentectomy or is an unspecified code but have no idea what the comparative would be. Here's a summary of the operative procedure.
"Upon entering the abdomen, a 2 mm miliary spread of peritoneal
carcinomatosis was observed on most of the surfaces including the
anterior abdominal wall, the pelvic side walls, the bowel, the surface
of the liver and the right hemidiaphragm. The omentum had 5-6 mm
nodules on it, only the supracolic omentum was left. The splenogastric
and splenophrenic ligaments also had 5-6 mm nodules, so all of these
were removed. There was a 6 mm umbilical hernia that was removed and
the fascia was freshened up and the hernia was closed. A peritoneal
port was placed and irrigated and confirmed patent. At the end of the
operation, the patient received epinephrine and Robinul in order to
raise her blood pressure so that we could check for hemostasis. The
irrigation fluid was repeatedly clear even during the final irrigations
during the induced hypertension. The sponge and instrument counts were
correct at the end of the operation and there was no suspicion of
enterotomy and no suspicion of urologic injury."
Thanks so much.