Neurosurgery Coding Alert

Reader Question:

Remove Your Doubts for Drain Removal

Question: Surgeon A performed a posterolateral fusion, laminectomy, and pedicle screw insertion. Then two days later Surgeon B removed the remainder of the drain that was left after Surgeon A removed it. Procedure done: Opening of the wound and inspection of the wound, removal of the retained drain and reclosure. Below is the procedure note: "After satisfactory induction of general endotracheal anesthesia and preoperative preparation, the inferior part of incision was opened. We took out the Monocryl and the 2-0 Vicryl and then the Prolene in the fascia and opened the wound up to a small extent. The drain, seen on the right side of the wound, was removed. Since the drain was torn, we imaged the remainder of the wound to ensure there wasn't any remaining fragment. No such fragments were located. We then thoroughly irrigated the wound. Further, we closed the drain with the Prolene that was tied [...]
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