MsSNJones
New
Hello Coders,
I really need some help with this procedure. A co-worker and I could not locate a procedure code which was close to the below operative report procedure description. If any one could help, it would be greatly appreciated.
Thank you.
Ms. Jones
PREOPERATIVE DIAGNOSIS: Chronic pelvic pain.
POSTOPERATIVE DIAGNOSIS: Chronic lower abdominal pain, incisional rectus diastasis.
NAME OF PROCEDURE: Repair of rectus diastasis with reinforcement of bioprosthetic mesh.
ANESTHESIA: General.
ESTIMATED BLOOD LOSS: Minimal.
SPECIMENS REMOVED: None.
INDICATIONS FOR PROCEDURE: Ms. Graham is a 31-year-old woman with the above-mentioned complaints. Work-up revealed a possible GYN cause for her pain, as well as rectus diastasis. She is a candidate for repair. She is to undergo total abdominal hysterectomy by Dr. Hopkins with subsequent repair rectus diastasis by me.
DESCRIPTION OF PROCEDURE: After the hysterectomy had been performed through a Pfannenstiel incision, the area was inspected. The previous rectus diastasis had been opened during the course of the hysterectomy. The rectus abdominis muscles were then carefully reapproximated using #1 Vicryl sutures. A piece of Strattice mesh was then fashioned to appropriate dimensions and placed in the wound bed and secured using #1 Vicryl pop-off sutures. The anterior fascia was then closed over top of the mesh using 0 Vicryl running sutures. The subcutaneous tissue was closed in a similar fashion and the skin was closed using stainless steel skin clips. A sterile dressing was applied. Sponge and needle counts were correct at the end of the case. The patient tolerated the procedure well and was taken to recovery in stable condition.
I really need some help with this procedure. A co-worker and I could not locate a procedure code which was close to the below operative report procedure description. If any one could help, it would be greatly appreciated.
Thank you.
Ms. Jones
PREOPERATIVE DIAGNOSIS: Chronic pelvic pain.
POSTOPERATIVE DIAGNOSIS: Chronic lower abdominal pain, incisional rectus diastasis.
NAME OF PROCEDURE: Repair of rectus diastasis with reinforcement of bioprosthetic mesh.
ANESTHESIA: General.
ESTIMATED BLOOD LOSS: Minimal.
SPECIMENS REMOVED: None.
INDICATIONS FOR PROCEDURE: Ms. Graham is a 31-year-old woman with the above-mentioned complaints. Work-up revealed a possible GYN cause for her pain, as well as rectus diastasis. She is a candidate for repair. She is to undergo total abdominal hysterectomy by Dr. Hopkins with subsequent repair rectus diastasis by me.
DESCRIPTION OF PROCEDURE: After the hysterectomy had been performed through a Pfannenstiel incision, the area was inspected. The previous rectus diastasis had been opened during the course of the hysterectomy. The rectus abdominis muscles were then carefully reapproximated using #1 Vicryl sutures. A piece of Strattice mesh was then fashioned to appropriate dimensions and placed in the wound bed and secured using #1 Vicryl pop-off sutures. The anterior fascia was then closed over top of the mesh using 0 Vicryl running sutures. The subcutaneous tissue was closed in a similar fashion and the skin was closed using stainless steel skin clips. A sterile dressing was applied. Sponge and needle counts were correct at the end of the case. The patient tolerated the procedure well and was taken to recovery in stable condition.
