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Thread: complex abdominal wall reconstruction

  1. #1

    Default complex abdominal wall reconstruction

    AAPC: Back to School
    Please advise on how to code this. To ensure that I receive the response, please send to my work e-mail as well,, thanks.

    Attention was then paid to the reconstruction of the abdominal wall defect from
    the previous large hernia. Skin flaps were raised and the hernia sac identified.
    The anterior rectus sheat was identified bilaterally and raising of the skin flaps
    continued to towards the anterior axillary line. An incision was made on the
    anterior rectus sheath laterally and this was lifted off of the rectus muscles
    bilaterally and inverted towards the midline and approximated with #1-PDS in a
    running fasion to completely cover the hernia defect. A 20 x 16 cm piece of
    Strattice was then placed as an overlay and secured to the cut edge of the
    anterior rectus sheath laterally.
    Last edited by fastewar; 08-31-2010 at 10:52 AM.

  2. #2


    I would say 49900 and 49905.

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