aguelfi
Guest
I have a patient who had a aortic dissection repair in the morning. The pt's BD dropped in the ICU and the surgeon reopened is chest at the bedside got him stable and returned him to th OR. In the OR the doctor explored his chest, cauterized some oozing on the chest wall, opened bilateral pleural cavities adn inserted chest tubes. Then closed his chest again.
Because the chest wasn't opened in the OR I don't think a medialstinal exporation, 39010 is appropriate. And I don't think 21750 is correct either because the chest didn't separate on it's own (dehisence), it was opened by the physician. So I'm looking at just sternal debridement 21627. Any thoughts?
Because the chest wasn't opened in the OR I don't think a medialstinal exporation, 39010 is appropriate. And I don't think 21750 is correct either because the chest didn't separate on it's own (dehisence), it was opened by the physician. So I'm looking at just sternal debridement 21627. Any thoughts?