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Conversion of Penrose drain to Jackson-Pratt w/irrigation of wound

  1. Default Conversion of Penrose drain to Jackson-Pratt w/irrigation of wound
    Medical Coding Books
    Would I need to use the unlisted code 17999? And if so, what should I use for the comparative charge? Any other thoughts out there?
    Thanks in advance for your time.

    Perineal abscess status post abdominoperineal resection.

    Conversion of Penrose drain to Jackson-Pratt with irrigation of wound.

    The patient was brought to the operating room. After attainment of sufficient general anesthesia, he was pretreated with antibiotics and prepped and draped in the usual sterile fashion.
    Placed face down on the operating room table and exposing the perineal wound just anterior to the coccyx, there was an area of breakdown. The Penrose was retrieved and we made a stab wound laterally and tunneled a new 7 mm Jackson-Pratt into position. Once the Jackson-Pratt was in position, we irrigated the wound with Betadine and peroxide. We then secured the drain with two 2-0 silks. The patient tolerated the procedure quite well.

  2. #2
    There's not really a good code for this. I usually do 45000 transrectal drainage of pelvic abscess and maybe you should put a 52 on there?

    The other option would be 49020 drainage of peritoneal abscess but I think 45000 is closer.

    Any thoughts?

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