Wiki INCISION AND DRAINAGE OF PERINEAL ABSCESS - Male patient - cpt help

Miko24

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PROCEDURE: the patient was brought to the operating room and placed on the operating table. After general anesthesia, the patient was placed in the lithotomy position and his penis, perineum, lower abdomen were prepped and draped in the usual sterile fashion. An incision was made in the anterior most aspect of the fluctuant pocket. There was obvious purulent material which was cultured. A finger sweep was performed to establish the limits of the pocket. There was no scrotal component. There was undermining of the tissue toward the anus. I cut a small vac sponge in a scallop fashion. I then packed the cavity and covered it with an ioban dressing because the adherence is improved. The sponge was exposed through the plastic dressing and the suction adaptor was applied. The tubing was passed off and connected to the vacuum machine. A good seal was proven. A foley catheter was inserted and the scrotum was fixed ventrally using tape to preserve a flat perineum to allow for a better seal.

Would you also code for the VAC placement?

Thank you
 
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