I chose code 21344 not sure is the is correct code.....Here is the op report
Dx: Comminuted frontal bone fracture with obliteration of frontal sinus with bone cement.
OP Report: The patient was place in the supine position and general endotracheal intubation anesthesia was inucted. The operative site was painted w/betadine3 soap pt draped in usual fashion. An incision was made at the lower most crease in the forehead just over the glabella and this was carried down through the skin, subcutaneous are, and frontalis muscle. The muscles were split and using a Freer elevator, this was removed from the underlying bone. The fracture site was noted and there was a severe displacement of the frontal lamina of the frontal sinus and this was retrieved in the sinus cavity. Due to the severity of the comminuted bone fx and the inability for us to replace it with a mini-plate, which was considered initially, we decided that we obliterate the frontal sinus and after some time it hardened up and the excess cement was then drilled so it will be in level with the frontal bone. The surgical wound was approximated utilizing a 4-0 chrmis suter material for the muscular and subcutaneous are and the skin was closed with a 5-0 nylon suture material in a continuous interlocking fashion.
Dx: Comminuted frontal bone fracture with obliteration of frontal sinus with bone cement.
OP Report: The patient was place in the supine position and general endotracheal intubation anesthesia was inucted. The operative site was painted w/betadine3 soap pt draped in usual fashion. An incision was made at the lower most crease in the forehead just over the glabella and this was carried down through the skin, subcutaneous are, and frontalis muscle. The muscles were split and using a Freer elevator, this was removed from the underlying bone. The fracture site was noted and there was a severe displacement of the frontal lamina of the frontal sinus and this was retrieved in the sinus cavity. Due to the severity of the comminuted bone fx and the inability for us to replace it with a mini-plate, which was considered initially, we decided that we obliterate the frontal sinus and after some time it hardened up and the excess cement was then drilled so it will be in level with the frontal bone. The surgical wound was approximated utilizing a 4-0 chrmis suter material for the muscular and subcutaneous are and the skin was closed with a 5-0 nylon suture material in a continuous interlocking fashion.
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