amandamkcj
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What is everyone using for CPT coding for IRRAflow insertion? We have been using either 61107 or 61210 depending if twist drill or burr hole done. New provider has come on board directing to use shunt insertion codes (62230, 62220) which isn't correct; however, I'm unable to find source documentation to back up correct coding. Any Help?
Insertion of IRRAFLOW ventricular catheter
Patient was brought to the main operating theater, was given general anesthesia and underwent endotracheal intubation without any complications. He was positioned supine on the bed and all his pressure points were carefully protected. His head was positioned on foam in neutral position. Then I marked in the paramedian incision in the left frontal scalp, mid pupillary line. The surgical site was prepped and draped as per usual.
The proposed skin incision was infiltrated with 0.25% Marcaine with epinephrine. Skin was sharply opened down to the bone and self-retaining retractor was inserted. High-speed drill was brought in and 1 bur hole was fashioned down to the dura. The dura was coagulated and incised. The brain cortex was coagulated and incised as well. Then an Irraflow ventricular catheter was inserted according to anatomical landmarks to a depth of 6 cm from the outer table of the skull. Spontaneous CSF drained from the catheter. The stylette was removed. The catheter was secured to the skin with 3-0 Prolene stitch. The drainage port of the catheter was also checked and the blood-tinged CSF also dripped from it. The catheter was then connected to the irrigation/drainage machine. The wound was copiously irrigated with warm Plasma-Lyte. The incision was closed in layers with 2-0 Vicryl to the galea and staples for the skin. Sterile dressing was applied.
At the end of the operation, the instrument and sponge count were correct. Patient tolerated the operation without any complications.
Thank you!
Insertion of IRRAFLOW ventricular catheter
Patient was brought to the main operating theater, was given general anesthesia and underwent endotracheal intubation without any complications. He was positioned supine on the bed and all his pressure points were carefully protected. His head was positioned on foam in neutral position. Then I marked in the paramedian incision in the left frontal scalp, mid pupillary line. The surgical site was prepped and draped as per usual.
The proposed skin incision was infiltrated with 0.25% Marcaine with epinephrine. Skin was sharply opened down to the bone and self-retaining retractor was inserted. High-speed drill was brought in and 1 bur hole was fashioned down to the dura. The dura was coagulated and incised. The brain cortex was coagulated and incised as well. Then an Irraflow ventricular catheter was inserted according to anatomical landmarks to a depth of 6 cm from the outer table of the skull. Spontaneous CSF drained from the catheter. The stylette was removed. The catheter was secured to the skin with 3-0 Prolene stitch. The drainage port of the catheter was also checked and the blood-tinged CSF also dripped from it. The catheter was then connected to the irrigation/drainage machine. The wound was copiously irrigated with warm Plasma-Lyte. The incision was closed in layers with 2-0 Vicryl to the galea and staples for the skin. Sterile dressing was applied.
At the end of the operation, the instrument and sponge count were correct. Patient tolerated the operation without any complications.
Thank you!