rrrobinson05
Contributor
Is there a specific CPT code for Gastrocutaneous fistula closure? I did look at 44650, this is not what was done.
There is another forum on this subject, but it was never answered or clarified. I'm hoping someone will help. Do we use 44650 -52? Here's the Op Note:
Indications: ___________is a 12 m.o. male presenting with a g-tube site that has not spontaneously closed.
Operative Details: __________ was brought to the operating room where they underwent general anesthesia. __________ was then prepped and draped in the usual fashion. Attention was directed to the gastrocutaneous fistula. An elliptical incision was made around the previous gastrostomy site. The tract was then separated from the surrounding subcutaneous tissue, fascia, and rectus muscle using a combination of sharp and electrocautery dissection. The anterior wall of the stomach was delivered into the wound and the tract was then divided with a 30 mm TA stapler and passed off the field. The stomach was returned to the abdomen. The fascia and rectus muscle were approximated with interrupted 2-0 PDS sutures. Subcutaneous tissue was closed with vicryl and the skin was closed with monocryl The wound was dressed steri-strips. There were no apparent complications and the procedure was well tolerated.
Thanks to those who take the time to help with the forums.
There is another forum on this subject, but it was never answered or clarified. I'm hoping someone will help. Do we use 44650 -52? Here's the Op Note:
Indications: ___________is a 12 m.o. male presenting with a g-tube site that has not spontaneously closed.
Operative Details: __________ was brought to the operating room where they underwent general anesthesia. __________ was then prepped and draped in the usual fashion. Attention was directed to the gastrocutaneous fistula. An elliptical incision was made around the previous gastrostomy site. The tract was then separated from the surrounding subcutaneous tissue, fascia, and rectus muscle using a combination of sharp and electrocautery dissection. The anterior wall of the stomach was delivered into the wound and the tract was then divided with a 30 mm TA stapler and passed off the field. The stomach was returned to the abdomen. The fascia and rectus muscle were approximated with interrupted 2-0 PDS sutures. Subcutaneous tissue was closed with vicryl and the skin was closed with monocryl The wound was dressed steri-strips. There were no apparent complications and the procedure was well tolerated.
Thanks to those who take the time to help with the forums.
