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How would you code: Fireworks/Repair of ruptured globe RT eye

  1. #1
    Exclamation How would you code: Fireworks/Repair of ruptured globe RT eye
    Medical Coding Books
    Procedure: OR, 1 g of Ancef, general anesthesia, draped, no local. Iris contents protruding thru wound removed. Dissect from inferotemporal conj about 120 degrees from 9:00 down to 6:30. Tenon capsule also dissected off of sclera. Seven 8-0 Vicryl sutures on laceration thru the sclera up into the limbus. Limbus suture strengthened by second 8-0 Vicryl suture. Then repair began on cornea laceration. Contents of uveal tract protruding were excised. Approx ten 10-0 Ethilon sutures were placed in cornea to repair stellate laceration; 4 branches of stellate laceration; more sutures were placed to appoximate the corneal wound. Wound appeared water tight with a minimal amount of fluid leaving the anterior chamber. Five 8-0 Vicryl sutures were placed inferotemporal conj to approximate the tissues dissected. Conj was attached to sclera at approx 7:30 to 8:00 position with one 8-0 Vicryl stitch. Finished case, placed 2 drops of Vigamox on eye with copious irrigation of cornea. Added Maxitrol to inferior fornix and cornea. How would you code? No mention of foreign bodies.

  2. #2
    Milwaukee WI
    Default Educated Guess
    Not my area of expertise ... but how about CPT 65285

    F Tessa Bartels, CPC

  3. Default
    Nor mine but would also suggest ICD-9 of 918.1 and E923.9.

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