ammontagano
Guru
The lower lid marginlaceration was identified and opened. An inferior canalicular laceration and superior canalicular laceration at about the mid canaliculas were identified.
In light of this, a pgtail probe was not able to be placed and 2 mini-Monoka stents in the upper and lower canaliculus were planned. The lower punctum was dilated and the mini-Monoka stent was trimmed and placed into the punctum and brought out of the canaliculus. The flange was placed in a position at the punctum. The tissue of the laceration was retracted and the distal inferior canaliculus was identified and dilated with a punctal dilator, and a forceps was used to thread mini-Monoka stent into the distal canaliculus.
A similar procedure was done for the upper canaliculus to close the lid margin defect. A deep 5-0 Vicryl closure was done and a superficial 6-0 plain suture interrupted with vertical mattress was done. An upper and lower lid laceration was accomplished in this way.
Physician coded 68840, 67935, and 68700
Do you agree?
In light of this, a pgtail probe was not able to be placed and 2 mini-Monoka stents in the upper and lower canaliculus were planned. The lower punctum was dilated and the mini-Monoka stent was trimmed and placed into the punctum and brought out of the canaliculus. The flange was placed in a position at the punctum. The tissue of the laceration was retracted and the distal inferior canaliculus was identified and dilated with a punctal dilator, and a forceps was used to thread mini-Monoka stent into the distal canaliculus.
A similar procedure was done for the upper canaliculus to close the lid margin defect. A deep 5-0 Vicryl closure was done and a superficial 6-0 plain suture interrupted with vertical mattress was done. An upper and lower lid laceration was accomplished in this way.
Physician coded 68840, 67935, and 68700
Do you agree?