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Inferior vena cava repair

  1. #1
    Default Inferior vena cava repair
    Medical Coding Books
    I am lookng for CPT for a repair of a lacerated inferior vena cava.

    Pt had laparoscopic surgery to remove a large hepatic cyst. The cyst was attempted to be dissected from its attachement to the diaphragm significant bleeding was noted. Procedure was then converted to open to assess the bleeding. Inferior vena cava was noted to be bleeding and was clamped and oversewn. Abdomen was suctioned irrigated and dried out and no active bleeding was noted

    Thank you in advance

  2. #2
    Phoenix, AZ

    What caused the IVC bleeding? Was there a H/H problem before the surgery? Was the abdomen distended?
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

  3. #3
    no history of hemorrhage.... no abdominal distention... pt went it to have marsupilization of 18cm liver cyst. The cyst was collapsed and when they attempted to peel posterior aspect of cyst from the diaphragm thats when significant bleeding was noted in inferior vena cava.

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