Hi,
looking for some help.
any one knows what is the cpt code for a 4 throw knot pupilloplasty procedure?
The patient was identified in the preoperative holding area where the Left eye was marked as the operative eye. The patient was then brought back into the operating room and a time-out was performed. Monitored anesthesia care was induced. The patient was then prepped and draped in the usual sterile ophthalmic fashion. A lid speculum was introduced into the eye and the operating microscope was brought into place.
*
A paracentesis was created supranasally & inferonasally. Preservative free lidocaine was injected into the anterior chamber, followed by healon. A 10-0 prolene on CIF needle was then passed through the inferior para and used to engage proximal and distal iris leaflet, then engaged with a 25g needle and brought through the superior para. A 4 throw pupilloplasty knot was performed and synched down. An inverted corneal bridge was created and the knot and iris were brought up to the cornea. 25g needle was used to make 2 nasal paracentesis. The suture/iris were cut and freed. The corneal wound was the then expanded.
*
A 10-0 prolene on CIF needle was then passed through the inferior para and used to engage proximal and distal iris leaflet, then engaged with a 27g cannula and brought through the superior para. A 4 throw pupilloplasty knot was performed and synched down making a round pupil. This repeated 2 additional times to close the remaining key hole defect. The sutures were cut with 25g retina scissors. During the last pass, the nasal iris root was noted to bleed, but no dialysis was noted.
looking for some help.
any one knows what is the cpt code for a 4 throw knot pupilloplasty procedure?
The patient was identified in the preoperative holding area where the Left eye was marked as the operative eye. The patient was then brought back into the operating room and a time-out was performed. Monitored anesthesia care was induced. The patient was then prepped and draped in the usual sterile ophthalmic fashion. A lid speculum was introduced into the eye and the operating microscope was brought into place.
*
A paracentesis was created supranasally & inferonasally. Preservative free lidocaine was injected into the anterior chamber, followed by healon. A 10-0 prolene on CIF needle was then passed through the inferior para and used to engage proximal and distal iris leaflet, then engaged with a 25g needle and brought through the superior para. A 4 throw pupilloplasty knot was performed and synched down. An inverted corneal bridge was created and the knot and iris were brought up to the cornea. 25g needle was used to make 2 nasal paracentesis. The suture/iris were cut and freed. The corneal wound was the then expanded.
*
A 10-0 prolene on CIF needle was then passed through the inferior para and used to engage proximal and distal iris leaflet, then engaged with a 27g cannula and brought through the superior para. A 4 throw pupilloplasty knot was performed and synched down making a round pupil. This repeated 2 additional times to close the remaining key hole defect. The sutures were cut with 25g retina scissors. During the last pass, the nasal iris root was noted to bleed, but no dialysis was noted.