AnneCline
Networker
Would anyone be able to help with this one? I have an example to show. I am getting totally confused with the nerve monitoring cases! What CPTs would I use? 95920? But with what else?
Rt thyroid lobectomy and isthmusectomy with 2 hours recurrent laryngeal nerve monitoring.
Pt had incision made in anterior neck and skin & subQ tissues dissected. Platysmal flap mobilized. Strap muscles lateralized. Rt thyroid mobilized. Superior pole of thyroid skeletonized and then divided. Lateral portion of thyroid gland on rt was elevated and recurrent laryngeal nerve was identified and confirmed with NIM monitor. Pt had nerve dissected back to thyroid cartilage and larynx. Pt had middle thyroid vessels divided and the gland completely mobilized. Berry's ligament divided. Gland taken up over trachea and divided between clamps at level of isthmus. Area irrigated and drain placed and wound closed in standard fashion.
Thank you in advance!
Rt thyroid lobectomy and isthmusectomy with 2 hours recurrent laryngeal nerve monitoring.
Pt had incision made in anterior neck and skin & subQ tissues dissected. Platysmal flap mobilized. Strap muscles lateralized. Rt thyroid mobilized. Superior pole of thyroid skeletonized and then divided. Lateral portion of thyroid gland on rt was elevated and recurrent laryngeal nerve was identified and confirmed with NIM monitor. Pt had nerve dissected back to thyroid cartilage and larynx. Pt had middle thyroid vessels divided and the gland completely mobilized. Berry's ligament divided. Gland taken up over trachea and divided between clamps at level of isthmus. Area irrigated and drain placed and wound closed in standard fashion.
Thank you in advance!