Good morning everybody,
i have this patient who has DISTAL LEFT FEMUR EWINGS SARCOMA
had RESECTION OF DISTAL LEFT FEMUR TUMOR AND IMPLANTATION OF
PROSTHESIS
Procedures:GA
SUPINE POSITION
SCRUBBING AND DRAPPING
MEDIAL PARAPATELLAR APPROACH TO THR LEFT KNEE AND DISTAL FEMUR
THE BIOPSY TRACT WAS EXCISED
THE QUAD TENDON AND MUSCLE WERE OPENED FROM MEDIAL ASPECT OF THE KNEE TO THE
MEDLINE OF THE MUSCLE
THE MEDIAL KNEE TETINACULUM WAS OPENED REACHING THE TIBIAL TUBEROSITY
THE FEMORAL ARTERY WAS IDENTIFIED AND PRESERVED
ALL BRANCHES FROM THE POPLETEAL VESSELS TO THE KNEE ANF DISTAL FEMUR WERE
LIGATED
FEMUR OSTEOTOMY WAS DONE 16.5 CM FROM MEDIAL JOINT LINE
BONE MARROW WAS SENT FROM THE PROXIMAL CANAL MARGIN FOR FROZEN SECTION AND
CAME FREE
TIBIAL OSTEOTOMY WAS DONE 10 MM FROM ARTICULAR SURFACE
REAMING OF THE FEMORAL CANAL UP TO 13 MM
FULL TUMOR PROSTHESIS TRIAL WAS DONE AND IT WAS SATISFACTORY
GOOD IRRIGATION AND CLEANING OF THE BONY ENDS AND THE SURGICAL FIELD WAS DONE
CEMENT WAS PREPARED AND IMPLANTATION OF DISTAL FEMUR TUMOR PROSTHESIS WAS
DONE USING THE FOLOWING SIZES:
FEMURAL COMPONENT:LEFT SMALL+ 6 CM EXTENTION
TIBIAL COMPONENT:X SMALL
THE JOINT STABILITY WAS CHECKED IN BOTH FLEXION AND EXTENTION POSITION
WASHING WITH SALINE
DRAIN WAS INSERTED
CLOSURE OF THE QUAD MUSCLE , TENDON AND RETINACULUM
SC AND SKIN CLOSURE
DRESSING
KNEE IMMOBILISEER WAS APPLIED
i used 27365 (Radical resection of tumor, feumr or knee) for the tumor resection, but what about the prosthesis code? i can't find one
any help?
i have this patient who has DISTAL LEFT FEMUR EWINGS SARCOMA
had RESECTION OF DISTAL LEFT FEMUR TUMOR AND IMPLANTATION OF
PROSTHESIS
Procedures:GA
SUPINE POSITION
SCRUBBING AND DRAPPING
MEDIAL PARAPATELLAR APPROACH TO THR LEFT KNEE AND DISTAL FEMUR
THE BIOPSY TRACT WAS EXCISED
THE QUAD TENDON AND MUSCLE WERE OPENED FROM MEDIAL ASPECT OF THE KNEE TO THE
MEDLINE OF THE MUSCLE
THE MEDIAL KNEE TETINACULUM WAS OPENED REACHING THE TIBIAL TUBEROSITY
THE FEMORAL ARTERY WAS IDENTIFIED AND PRESERVED
ALL BRANCHES FROM THE POPLETEAL VESSELS TO THE KNEE ANF DISTAL FEMUR WERE
LIGATED
FEMUR OSTEOTOMY WAS DONE 16.5 CM FROM MEDIAL JOINT LINE
BONE MARROW WAS SENT FROM THE PROXIMAL CANAL MARGIN FOR FROZEN SECTION AND
CAME FREE
TIBIAL OSTEOTOMY WAS DONE 10 MM FROM ARTICULAR SURFACE
REAMING OF THE FEMORAL CANAL UP TO 13 MM
FULL TUMOR PROSTHESIS TRIAL WAS DONE AND IT WAS SATISFACTORY
GOOD IRRIGATION AND CLEANING OF THE BONY ENDS AND THE SURGICAL FIELD WAS DONE
CEMENT WAS PREPARED AND IMPLANTATION OF DISTAL FEMUR TUMOR PROSTHESIS WAS
DONE USING THE FOLOWING SIZES:
FEMURAL COMPONENT:LEFT SMALL+ 6 CM EXTENTION
TIBIAL COMPONENT:X SMALL
THE JOINT STABILITY WAS CHECKED IN BOTH FLEXION AND EXTENTION POSITION
WASHING WITH SALINE
DRAIN WAS INSERTED
CLOSURE OF THE QUAD MUSCLE , TENDON AND RETINACULUM
SC AND SKIN CLOSURE
DRESSING
KNEE IMMOBILISEER WAS APPLIED
i used 27365 (Radical resection of tumor, feumr or knee) for the tumor resection, but what about the prosthesis code? i can't find one
any help?