Wiki Need the Surgery Guru for this one :)

[aqualady1969]

POST OP DX : Intraabdominal abscesses status post laparoscopic cholecystectomy and lysis adhesions with extensive intraabdominal of adhesions. Multiple loculated collections

PROCEDURE PERFORMED; EXPLORATORY LAPAROTOMY, EXTENSIVE INTRA LYSIS, RPAIR OF MULTIPLE CIRRHOSAL TEARS (10), PARTIAL SMALL BOWEL RESECTION TWO TIMES APPROX 6 INCHES IN PROXIMAL JEJUNUM. APPROX. ONE AND A HALF FEET IN DISTAL ILIUM. INSERTION OF MOSS GASTRODUODENAL FEEDING TUBE. INSERTION OF PELVIC DRAIN. INSERTION OF PELVIC SEPRA FILM. BIOPSY OF SMALL BOWEL CIRRHOSAL NODULES. INSERTION OF SUBCUTANEOUS WOULD VAC.

MEDICARE

TOTAL OP NOTE IS 7 PAGES LONG. SURGERY TOOK 5 1/2 HOURS INCLUDING 2 HOURS LYSIS OF ADHESIONS. WHICH IS DOCUMENTED

SOMEONE PLEASE HELP ME WITH THIS

 

[colorectal surgeon]

Sounds like this is all you can code for and maybe not the small bowel resection

SMALL BOWEL RESECTION TWO TIMES
INSERTION OF MOSS GASTRODUODENAL FEEDING TUBE.
BIOPSY OF SMALL BOWEL CIRRHOSAL NODULES.

 

[aqualady1969]

Thank You

 

[losborn]

How about -22 to capture the lysis as well?

Lin