DAWNC34
Contributor
12 yo male with a history of a foreign body on the penis. His penis was stuck within a shampoo bottle. We could not remove this in the ER so he was taken to the OR.
Patient placed under anesthesia without incident. IV clindamycin was given due to a MRSA history. A timeout was performed after the patient was prepped and draped.
A malleable was placed under the foreign body to protect the penile skin. We then used a combination of scissors and a scalpel to cut the shampoo bottle. Once removed the penis was examined. There was significant distal penile edema but the skin was intact and no injuries were noted. The urethra was probed with a foley and no injury was noted.
We then applied Vaseline and extubated the patient without incident.
is there a CPT Code or included work in E/M?
Help!
Patient placed under anesthesia without incident. IV clindamycin was given due to a MRSA history. A timeout was performed after the patient was prepped and draped.
A malleable was placed under the foreign body to protect the penile skin. We then used a combination of scissors and a scalpel to cut the shampoo bottle. Once removed the penis was examined. There was significant distal penile edema but the skin was intact and no injuries were noted. The urethra was probed with a foley and no injury was noted.
We then applied Vaseline and extubated the patient without incident.
is there a CPT Code or included work in E/M?
Help!