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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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    Wiki 44120?

    thank you
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    Wiki subtotal colectomy ?

    thank you
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    Wiki subtotal colectomy ?

    Stuck on this one , thinking 44207, not sure if i can bill the hernia , the rt sid e of colon is absent so thinking this cant be a total so looking at 44207 , please let me know what anyone thinks PROCEDURE PERFORMED: Laparoscopic subtotal colectomy with ileorectal anastomosis and incisional...
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    Wiki 44120?

    I don't see no anastomosis on this procedure would this still be a small bowel resestion 44120?, or 44602? THANKS PROCEDURES PERFORMED: 1. Exploratory laparotomy 2. Lysis of adhesions 3. Small bowel diverticulum resection *resected * * PROCEDURE IN DETAIL: After informed consent was...
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    Wiki perirectal sinus tract

    nope not a fistula
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    Wiki Coloanal anastomotic revision = Baffled

    a revision of some kind has to be
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    Wiki Excision 3 breast masses

    I agree with Lindsey
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    Wiki perirectal sinus tract

    Looking for a cpt code for excision of perirectal sinus tract , did anyone ever code trhis before ?
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    Wiki evacuation of intra-abdominal fluid

    you are correct, was a herina repair
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    Wiki pharyngo-esophagoscopy

    Has anyone ever heard of this procedure before ? DIAGNOSIS: Esophageal Foreign body Procedure : Pharyngo-esophagoscopy anf foreign body removal Procedure - After the induction of anesthesia, shoulder roll was placed. The laryngoscope was used to evaluate the oropharynx and upper esophagus...
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    Wiki 32551? esophagram ?

    Not sure how to code this, 32551?Anyone have any ideas ? DX- Esophageal atresia with esophageal anastomotic leak Procedure - Chest Tube placement The right chest tube was prepped and draped in a sterile fashion. A low mid axillary line chest tube was placed by making a small skin incision and...
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    Wiki right thoracotomy

    Hello, I am new to some of these thoracotomy codes , can someome point me in the right direction for this one ? DX- Long gap esophageal atresia Procedure -Right thoracotomy and esophagoesophagostomy After anesthesia, patient was placed in lateral decubitus position with an axillary roll in...
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    Wiki foker procedure

    Anyone ever heard of a procedure called a Foker procedure ? if so what cpt code is used for this , thank you
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    Wiki evacuation of intra-abdominal fluid

    I searched and only code I came up with is 49062 Provider did an exploratory laparotomy, evacuation of intra-abdominal fluid extending from the hernia sac, with closure of hernia sac , , please help
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    Wiki 11406?

    need some advice on this one , what would you code ?maybe wound closure ? doesnt giv much info * . * POSTOPERATIVE DIAGNOSIS: Nonhealing transverse wound of the mid lower back. * PROCEDURE: Wide excision of nonhealing transverse wound of the mid lower back, measuring 17 x 2 cm x 1 cm in...
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    Wiki blind limb

    has anyone heard of a gastrojejunostomy with excision of blind limb ?l
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    Wiki 44143, with 44160?

    not sure would this be 44120, 44143, 44160 .? * POSTOPERATIVE DIAGNOSES: 1. Crohn's disease with involvement of the ileocecum and ileosigmoid fistula. 2. Mesenteric abscess. 3. Proximal small bowel mass lesion. * PROCEDURE: Exploratory laparotomy with ileocecal resection and primary...
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    Wiki pilonidal cyst , please help

    thank you so much , the way you explained it makes sense thanks
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    Wiki cpt code ventriculpperitoneal shunt revision

    I only have little documentation on this, confused on using 62230 or 49426, could someone point me in the right direction Provider was revising a ventriculoperitoneal shunt and was having a hard time getting the distal catheter into the peritoneum, so he called for assistance. Another...
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    Wiki pilonidal cyst , please help

    not sure how to code this , i/d or 10081, or 11771? any ideas ? PREOPERATIVE DIAGNOSIS: Pilonidal cyst with abscess. * POSTOPERATIVE DIAGNOSIS: Pilonidal cyst with abscess. * PROCEDURE PERFORMED: Pilonidal cyst unroofing.* * OPERATIVE FINDINGS: A small abscess cavity approximately 4 cm length...
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    Wiki need help on intussusception

    Hello, need help with this procedure . I am thinking cpt code 44050, but is there anything else I am missing? Dx-Small bowel intussusception with Meckel diverticulum as a lead point Procedure-Reduction of intussusception, resection of terminal ileum, and primary anastomosis After general...
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    Wiki perianal lesion

    Please help if you can. What codes would you use ? DX- INTERNAL HEMORROHOID, external skin tag and perianal ulceration Procedure :Hemmorrhoid ligation and excision of perianal lesions x3 Findings-One anterior midline anal skin tag, two right and left posterioe superficial ulcertations, and...
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    Wiki Wound exploration

    Hello, I am not sure how yo code this procedure , any suggestions ? Specimen :Abdominal wound skin Findings :Small piece of packing at base of wound Anesthesia was induced without incident. The patient abdomen was prepped with Betadine and dressed in standard sterile fashion. . Following a...
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    Wiki dx code

    Hello, looking for dx codes for esophageal dilation and tortuous esophagus, would K22.2 AND K 22.8 be the right choice ? Thanks
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    Wiki ultraso und guided

    Need help with this , is this cpt code 19083? PROCEDURES PERFORMED: 1. Ultrasound guided localization of lesion 2. R breast lumpectomy Attention to the left breast. Ultrasound guidance was used to localize the lesion. The lesion was marked. An incision was made in the lower outer quadrant...
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    Wiki please help toe amputation

    Need someone to look at this . POSTOPERATIVE DIAGNOSIS: Ischemic necrosis of the tip of the left fourth toe. PROCEDURE PERFORMED: Amputation of the distal portion of the left fourth toe at the base of toenail. PROCEDURE IN DETAIL: Following informed consent, the patient was brought to the...
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    Wiki hematoma with debridement

    Thanks,
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    Wiki need help with debridement

    thank you
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    Wiki Modified Haley Procedure

    Anyone ever heard of a Modified Hanley Procedure before ? Thanks
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    Wiki amputation?

    Need someone thoughts on this one . DX -Ichemic necrosis of the tip of toe. Ptrocedure -Amputation of the distal portion of toe at the base of toenail After local anesthetic in the regional block a blade was used to excise the distal portion of the toe , which i nonviable. Easily removed. NO...
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    Wiki need help with debridement

    Please need help with this one . DX- Osteomyelitis of the right plantar foot with biopsies of the calcaneous for culture and sensitivity This was a deformed foot with the mid portion of the plantar surface denuded of skin. there was a small opening about 5mm in size over the distal...
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    Wiki laparoscopic assisted ileocolic resection

    Need help. Anyone ever code a laparoscopic assisted ilecolic resection and repair of ileoileal fistula ?Looking at 44205, but what about the fistula ? Please help Thanks
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    Wiki placement of cathether

    A percutaneous approach was used to gain acess to the left subclavian wein in 1 attempt. A guidewire was inserted into the right atrium and confirmed by fluroscopy. a dialator was then placed across the wire and a 13 cm French triple lumen catheter was inserted until the tip was superior vena...
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    Wiki Morgagni herina

    Question Provider did a laparoscopic repair of hital herina with Toupet fundoplication and laparoscopic repair of Morgagni herina with mesh , looking at 43282 for hital herina ,but what about the Morgagni herina? Thank you for your time
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    Wiki debridement-POSTOPERATIVE DIAGNOSIS

    Hello, how would you could the size of this 12x7? is it 84 sq. cm? am I going in the right direction ? POSTOPERATIVE DIAGNOSIS: Infected necrotic eschar with the underlying hematoma. Basically infected hematoma, basically crushed necrotic fat and fascia over the anterior...
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