AAPC - Back to school
Results 1 to 1 of 1

Thread: Intra-Operative Fluorescein?

  1. #1
    Join Date
    Apr 2007

    Question Intra-Operative Fluorescein?

    AAPC: Back to School
    One of my surgeons performed a bowel resection and administered fluorescein to the patient. Using the Woods Lamp he checked the vascular viability of the bowels. I am at a loss as to how or if I should code for this..

    Here is an excerpt from the Op Note:

    All bleeding was controlled as we entered the abdomen. Immediately on evisceration, we found a single band of adhesion from the cecum to the left pelvic sidewall. This would be clamped, divided, and tied. We then untwisted the mesentery of the small bowel, and there was an obvious clear-cut demarcation with significant vascular compromise. This would be allowed to return to the abdomen and we would copiously irrigate with multiple liters of warm saline. After appropriate time, this was re-examined and although there
    appeared to be some perfusion, there was still significant question about the compromise including the venous congestion.

    At this point, fluorescein was administered and using the Woods lamp, close examination revealed excellent blood supply to the remaining small bowel except for a segment that had been clearly demarcated visually which would be at about the mid ileum itself. This would be about 3 to 4 feet in length. This did not appear to be acceptable for resection. Therefore we would repair for a small bowel resection.

    All I can find for fluorescein is either opthemologic or for a skin graft..
    Any help is appreciated!!

    Last edited by nlpurvis; 04-26-2011 at 10:50 AM.

Similar Threads

  1. Intra-operative consult
    By PLAIDMAN in forum Orthopaedics
    Replies: 2
    Last Post: 01-04-2012, 02:23 PM
  2. Intra-operative consult
    By tfischer in forum E/M
    Replies: 1
    Last Post: 04-19-2011, 10:35 AM
  3. Intra Operative Consult
    By aslonsky in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 03-05-2010, 01:35 PM
  4. Intra-Operative Angiography
    By asnelling in forum Cardiovascular Thoracic
    Replies: 0
    Last Post: 02-27-2010, 08:38 AM
  5. intra-operative consult
    By jptingh in forum OB/GYN
    Replies: 1
    Last Post: 01-08-2010, 02:32 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.