catheyp1969
New
Looking for some CPT coding direction on the following:
Reexploration of the perineal wound with extensive washout with pulse lavage
Reconstruction of external sphincter muscle between 6:00 and 9:00 o'clock position
Additional reconstruction of the anal verge between 6:00 and 8:00 o'clock position
Condensed report: The previous wound VAC was removed. The wound was the cleansed out extensively with pulse lavage. Significant reduction of edema of the tissues expecially in the perianal area as noted. Close inspection revealed that the external sphincter muscle was transected completely between 6:00 and 9:00 o'clock position. The edges of muscle where debrided and the muscle was approximated with interrupted sutures... Additional sutures were placed between the skin and anal verge to complete repair the area between 6:00 and 8:00 o'clock position. A wound vac was applied.
Appreciate any suggestions for this patient who has been reexplored several times in the past couple weeks from a MVA.
Reply to cpribil@ncsainc.com
Reexploration of the perineal wound with extensive washout with pulse lavage
Reconstruction of external sphincter muscle between 6:00 and 9:00 o'clock position
Additional reconstruction of the anal verge between 6:00 and 8:00 o'clock position
Condensed report: The previous wound VAC was removed. The wound was the cleansed out extensively with pulse lavage. Significant reduction of edema of the tissues expecially in the perianal area as noted. Close inspection revealed that the external sphincter muscle was transected completely between 6:00 and 9:00 o'clock position. The edges of muscle where debrided and the muscle was approximated with interrupted sutures... Additional sutures were placed between the skin and anal verge to complete repair the area between 6:00 and 8:00 o'clock position. A wound vac was applied.
Appreciate any suggestions for this patient who has been reexplored several times in the past couple weeks from a MVA.
Reply to cpribil@ncsainc.com