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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 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

    Looking for a cpt code for excision of perirectal sinus tract , did anyone ever code trhis before ?
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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 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 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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    Wiki Need help

    Not sure if this is in tegumentary or musculoskeletal system, any suggestions DX- lipoma of right upper quardent Procedure- Excision of 8x 7 cm LIPOMA RIGHT UPPER QUASRANT Patient was bought to operating room placed on operative table . Local anesthetic is infliltrated. A transverse...
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    Wiki Bilateral buttock abscesses

    Should I code an I/D 10060 OR debridement, if debridement what code and why ? DX, Buttock abscesses Procedure - Irrigation and Debridement of Bilateral Buttock Abscesses After anesthesia, patient rolled to side. Iodofoam gauze is removed from. both abscess sites. The areas are prepped and...
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    Wiki pigtail dialysis cathether

    How would you code this ? Procedure :Right internal Jugular Dialysis Catheter With Pigtail The patient was placed in slight Trendelenburg. Neck is placed toward the left. Right neck is prepped and draped Local anesthetic is infiltrated. Posterior approach to the internal jugular vein is taken...
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    Wiki 19101 or 19110

    Not sure about this code. Attention was turned to the left breast . An elliptical incision was made in the nipple of the left breast . The specimen was dissected out sharply using palpation as a guide. The specimen was not oriented and submitted to pathology. There was noted to be residual...
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    Wiki anastomosis

    If a patient has an ostomy closure , and it stated the small bowel to colon anastomosis , is it 44620, 44625 ,or 44626? Please help, not understanding this ?
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    Wiki Debridement -help

    Not sure if I should code 11045, 11046, or 97597, 97598, any ideas? Patient had a right trochanteric decubitus ulcer with a wound vac placement (less than 100 cm area ) debrided to healhthy tissue. The greater trochanter now exposed in wound. Operative report. The right hip was then prepped...
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    Wiki plasmaphereesis catheter

    Anyone cpt code for per-cutaneous placement of plasmapheresis catheter with fluro?
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    Wiki suture repair

    Patient had a suture repair of a small opening in the apical upper lobe mechanical pleurodesis, , would cpt code code cpt code 32650 be the right choice ?
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