Recent content by codedog

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    Wiki intercostal artery perforator fasciocutaneous flap

    rocedure(s): 1. Excision of left breast fat necrosis 2. Partial breast reconstruction with anterior intercostal artery perforator fasciocutaneous flap i am getting 19120 , but not sure on flap , maybe 19361 ? any thoughts
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    Wiki catheter atempted

    I am confused on how i should code this , any suggestions ? is the trialysis catheter tunneled, should i code the attempted procedure ? thanks POSTOPERATIVE DIAGNOSES: Acute on chronic renal failure. PROCEDURE: 1. Attempted insertion of right and left internal jugular vein permanent...
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    Wiki Need resource

    Hello my name is tj , as you know plastics not all that easy but I struggle on the breast procedures , if anyone has any suggestions or can help me out at times I would appreciate it The fat Graft I got the reductions are easy it’s when they come back and do these reconstruction scar...
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    Wiki amino grafts for patients

    has anyone ever heard of surgeons using amino grafts to improve wound healing and decrease complications from bowel anastomosis , someone said they are using 15777 for the placement of the graft , anyone ever heard of this thanks
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    Wiki ultra sound needle core biopsy

    question not sure which way to go on this 27323, or should i go to 20206, with US PREOPERATIVE DIAGNOSIS: Left upper thigh mass POSTOPERATIVE DIAGNOSIS: Left upper thigh mass PROCEDURE: Ultrasound-guided core needle biopsy of left upper thigh mass SPECIMENS: left upper thigh mass sent for...
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    Wiki 46255 ?59

    Hello , I need someone advice on this procedure , Should I code 46255 with a 59 since it was just internal , not sure on scar biopsy since he states full thickness ? Any suggestions is appreciated Postoperative diagnosis: prolapsing hemorrhoids and scar noted just proximal to left anterior...
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    Wiki incisional herina ?

    I have a question , I don't see the incisional hernia , I see the lengthen cpt code code 43338,and 43336 not sure on how to code this provider wants 49560, 43337, 49560, 43500 , but don't think its right , any help is appreciated FINDINGS: Upon entering the peritoneal cavity, and a...
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    Wiki 48105?

    I need help with this op note , thinking 48105-22 , but I don't see no debridement , maybe resction please let me know what you think , and thanks POSTOPERATIVE DIAGNOSIS: Sepsis, necrotizing pancreatitis PROCEDURE PERFORMED: Exploratory laparotomy, drainage of pancreas, pancreatic...
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    Wiki Webinar

    Please anyone , is there a webinar out there that you know of on plastics, I know there is a conference coming up , but due to family I cannot leave , I really need some help , any suggestions ,
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    Wiki ileocolic resection

    I am not sure how to code this , thinking 44160 but not sure maybe 44130? Diagnosis- Small Bowel Obstruction Procedure -Exploratory laparotomy, lysis of adhesions, a previous ileocolic resection anastomosis and distal small bowel resection with a primary anastomosis Procedure -A midline...
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    Wiki debridement

    I had a provider that did a debridement -wound -abdominal wall , not sure what code to use dx-ABDOMINAL WOUND DEHISCENCE PROCEDURE- DEBRIDEMENT -WOUND -ABDOMINAL Wall abdomen was prepped using betadine. The previous granulation tissue inferiorly was gently separated. A collection of purulent...
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    Wiki unroofing of anastomotic sinus

    Looking for CPT code unroofing sinus anastomotic colorectal any ideas ?
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    Wiki biologic mesh

    Patient had an transvaginal repair of rectovaginal fistula with interposition biologic mesh insertion, I have cpt code 57300, but was wondering if mesh is included ?, if so what would the code be ? THANK YOU
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    Wiki mucous fistula creation

    Patient is a 11 day old patient that had a tunneled central line placement , av small bowel resection , Meckel's Diverticulectomy, ileostomy, and a mucous fistula creation , so far I have 36558- catheter 77001-26 44120 -small bowel resection 44800- Meckel's Diverticulectomy Ileostomy and...
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    Wiki laparoscopic ileocecectomy

    What would be a the cpt code for a laparoscopic ileocecectomy, with takedown of entercutaneous fistula anda drain placement in the fistula cavity,?, would it just be 44205? Thanks
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