celcano
Networker
I am not sure how this should be coded. Any suggestions would be greatly appreciated.
Beside having the "flipped pain pump", the patient also had a hernia that was being repaired by another physician at the same time. Here is Procedure in Detail from my physician:
"An informed consent was obtained. A peripheral IV was established. The patient was given prophylactic antibiotics within 60 minutes of the procedure. The patient was taken to the procedure room where the patient was positively identified by the staff at the attending physician. The patient was positioned supine on the procedure bed. Vital signs were monitored as above and remained stable throughout the procedure. The skin was prepped and draped in the standard sterile fashion. A time-out was observed and was agreed upon by the members of the team
Incision was made by Dr. A for the hernia repair adn right side of of the abdomen at the place of pain pump, dissection was carried with bovie, hemostasis was achieved, Then, I irrigated the pocket with bacitracin and saline, the pump was freely moving, intact, the old sutures were broken, and the pump was not anchored over the fascia, Ethibond 2.0 was used and 3 sides of the pump was anchored to the fascial of the abdominal muscles.
Pain pump was refilled with huber needle, 20 ml of dilaudid 1mg/ml injected after aspirating the remaining of hydromorphone from the pump. Dye study was performed, CSF was aspirated from the access port, then 2 ml omnipaq 240 mg/dl was injected, it showed excellent spread of dye into the intrathecal space with no extravasation of contrast. the catheter was intact. Then the subcutaneous tissue over the pump was closed with vicryl 1.0 and the skin was closed with staples. The rest of procedure was performed by Dr. Ai and Dr. B."
Again, thank you for your assistance.
Beside having the "flipped pain pump", the patient also had a hernia that was being repaired by another physician at the same time. Here is Procedure in Detail from my physician:
"An informed consent was obtained. A peripheral IV was established. The patient was given prophylactic antibiotics within 60 minutes of the procedure. The patient was taken to the procedure room where the patient was positively identified by the staff at the attending physician. The patient was positioned supine on the procedure bed. Vital signs were monitored as above and remained stable throughout the procedure. The skin was prepped and draped in the standard sterile fashion. A time-out was observed and was agreed upon by the members of the team
Incision was made by Dr. A for the hernia repair adn right side of of the abdomen at the place of pain pump, dissection was carried with bovie, hemostasis was achieved, Then, I irrigated the pocket with bacitracin and saline, the pump was freely moving, intact, the old sutures were broken, and the pump was not anchored over the fascia, Ethibond 2.0 was used and 3 sides of the pump was anchored to the fascial of the abdominal muscles.
Pain pump was refilled with huber needle, 20 ml of dilaudid 1mg/ml injected after aspirating the remaining of hydromorphone from the pump. Dye study was performed, CSF was aspirated from the access port, then 2 ml omnipaq 240 mg/dl was injected, it showed excellent spread of dye into the intrathecal space with no extravasation of contrast. the catheter was intact. Then the subcutaneous tissue over the pump was closed with vicryl 1.0 and the skin was closed with staples. The rest of procedure was performed by Dr. Ai and Dr. B."
Again, thank you for your assistance.