Bon2022
Contributor
Hello,
would this be billed as only 25000, thank you in advance.
DESCRIPTION OF PROCEDURE: The patient was brought to the operating room and placed supine on operating room table where general anesthesia was induced. IV antibiotic was given. A tourniquet was placed over the left upper arm and the left upper extremity was prepped in the usual sterile fashion. Esmarch was used to exsanguinate the left arm and the tourniquet inflated to 250 mmHg. Under 3.5 loupe magnification a longitudinal incision was made centered over her old scar and extended proximally one centimeter over the radial styloid. Skin and subcutaneous tissues were spread with scissors. The superficial branch of the radial nerve was next identified and noted to be in some scar tissue. The nerve was carefully dissected free from the scar. The nerve thinned out distally but no complete transection was noted. No obvious neuroma was noted. Care was taken to avoid excessive tension on the nerve with retractors. Scissor dissection was then used to develop dorsal flap over the first dorsal extensor compartment. A longitudinal nick was made through the extensor compartment sheath and scissor dissection used to release the compartment proximally and distally across the radial styloid. The tendons were identified, probed, and deemed to be without any tears. Deep dissection showed no accessory compartment. A complete release was confirmed visually. Gentle flexion and extension of the wrist and ulnar radial deviation with movement of the thumb showed no instability of the tendons. Satisfied with this, the wound was washed, dried, and closed with interrupted nylon suture. Local anesthetic was infiltrated into the wound and a compressive dressing applied. The tourniquet was released with good circulation noted in the fingers. Sponge counts and needle counts were correct at the end of the case.
would this be billed as only 25000, thank you in advance.
DESCRIPTION OF PROCEDURE: The patient was brought to the operating room and placed supine on operating room table where general anesthesia was induced. IV antibiotic was given. A tourniquet was placed over the left upper arm and the left upper extremity was prepped in the usual sterile fashion. Esmarch was used to exsanguinate the left arm and the tourniquet inflated to 250 mmHg. Under 3.5 loupe magnification a longitudinal incision was made centered over her old scar and extended proximally one centimeter over the radial styloid. Skin and subcutaneous tissues were spread with scissors. The superficial branch of the radial nerve was next identified and noted to be in some scar tissue. The nerve was carefully dissected free from the scar. The nerve thinned out distally but no complete transection was noted. No obvious neuroma was noted. Care was taken to avoid excessive tension on the nerve with retractors. Scissor dissection was then used to develop dorsal flap over the first dorsal extensor compartment. A longitudinal nick was made through the extensor compartment sheath and scissor dissection used to release the compartment proximally and distally across the radial styloid. The tendons were identified, probed, and deemed to be without any tears. Deep dissection showed no accessory compartment. A complete release was confirmed visually. Gentle flexion and extension of the wrist and ulnar radial deviation with movement of the thumb showed no instability of the tendons. Satisfied with this, the wound was washed, dried, and closed with interrupted nylon suture. Local anesthetic was infiltrated into the wound and a compressive dressing applied. The tourniquet was released with good circulation noted in the fingers. Sponge counts and needle counts were correct at the end of the case.