pinnaclephyserv
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Hello Everyone! UHC denied my claim stating op report doesn't match cpt..... HELP!!
OPERATIVE PROCEDURE: The patient was brought to the operating room after
suitable general anesthesia. She was placed supine on the OR table. The
right leg was sterilely prepped, draped, exsanguinated and placed in a leg
holder. The thigh tourniquet was inflated. The two anterior portals were
created. At the start of the first portal, we collected directly from the
intraarticular space through the arthroscopic scope cannula approximately
25 mL of purulent material that was sent to the lab in a sterile container
for gram stain culture and sensitivity. The rest of the joint was
arthroscoped, it was full of cloudy fluid. We lavaged the knee with a
total of 9 liters of saline. The knee was flushed a number of times.
Halfway through the course of irrigation, the fluid was clear. Instruments
and fluid were removed. The knee was filled with 20 mL of 0.5% Naropin and
the two portals were closed with an interrupted nylon suture. The medial
portal first had a 0.25 inch Penrose drain placed. The intraarticular
findings during the arthroscopic procedure showed erythematous synovium,
some inflamed hypertrophic synovium that was removed. The joint surfaces
and the menisci were in good condition. Sterile dressing was applied. The
patient was awakened and taken to recovery in satisfactory condition having
sustained no intraoperative complications.
OPERATIVE PROCEDURE: The patient was brought to the operating room after
suitable general anesthesia. She was placed supine on the OR table. The
right leg was sterilely prepped, draped, exsanguinated and placed in a leg
holder. The thigh tourniquet was inflated. The two anterior portals were
created. At the start of the first portal, we collected directly from the
intraarticular space through the arthroscopic scope cannula approximately
25 mL of purulent material that was sent to the lab in a sterile container
for gram stain culture and sensitivity. The rest of the joint was
arthroscoped, it was full of cloudy fluid. We lavaged the knee with a
total of 9 liters of saline. The knee was flushed a number of times.
Halfway through the course of irrigation, the fluid was clear. Instruments
and fluid were removed. The knee was filled with 20 mL of 0.5% Naropin and
the two portals were closed with an interrupted nylon suture. The medial
portal first had a 0.25 inch Penrose drain placed. The intraarticular
findings during the arthroscopic procedure showed erythematous synovium,
some inflamed hypertrophic synovium that was removed. The joint surfaces
and the menisci were in good condition. Sterile dressing was applied. The
patient was awakened and taken to recovery in satisfactory condition having
sustained no intraoperative complications.