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Removal of infected gastric band port

  1. Default Removal of infected gastric band port
    Medical Coding Books
    Can someone help me code the following report: The physician submitted code 43659 Thanks!

    TE: 08/29/09
    PREOPERATIVE DIAGNOSIS: Infected gastric band port.
    POSTOPERATIVE DIAGNOSIS: Infected gastric band port.
    NAME OF OPERATION: Removal of infected gastric band port.
    ANESTHESIA: General anesthesia with LMA.
    INDICATION FOR THE PROCEDURE: The patient is a 49-year-old female who
    had a gastric band revised approximately a month ago. In the last 3
    to 4 weeks, she has been complaining of excruciating pain at the site
    of the port with intermittent redness and erythema, ??<__________>.
    We obtained a CT which shows some fluid around and inflammation around
    the port consistent with possible infection. She was thus taken to
    the operating room for removal.
    DESCRIPTION OF OPERATION: She was positioned on the operating table
    in supine fashion. After induction of anesthesia with LMA, the
    abdomen was prepped and draped in the usual sterile fashion. Marcaine
    0.5% plain was used to infiltrate the area line overlying this
    palpable port. A small incision was made and dissection carried down
    through the subcutaneous tissue. Appropriate retractors were placed
    and slowly we came up to the area where the port was found. There
    were 2-0 Ethibond stitches holding the port to the anterior abdominal
    wall that were cut. We were now able to bring the port outside the
    incision. We now cut the port and let the rest of the catheter fall
    back into abdominal cavity. We now irrigated the area with antibiotic
    solution. Prior to this, we have sent for cultures and sensitivity of
    the port and port sites. We finished irrigating with antibiotic
    solution and performed closure. Closure was done in 2 layers by
    approximating subcutaneous tissue with 3-0 Monocryl, then the skin was
    closed with a running 4-0 Monocryl in subcuticular fashion. Patient
    tolerated procedure quite well. She was then taken to recovery in
    stable condition.

  2. Default
    That sounds like the procedure was done open so I would use 43887, but if done laparoscopically I would use 43659 with the fee from 43887.

  3. Default Reply
    Thanks! it looks to me as well.

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