pclaybaugh
Networker
Hello, please confirm the following code for this surgery
I come up with
49615 and 49623
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible [GFP 000 days]
INDICATION FOR SURGERY:
39-year-old male with history of umbilical hernia repair on 3 weeks ago who presented today with infected wound.
PREOPERATIVE DIAGNOSIS:
Infected wound s/p umbilical hernia repair
POSTOPERATIVE DIAGNOSIS:
Same
OPERATION:
Exploration of infected wound and primary repair of umbilical hernia.
TECHNIQUE:
The patient was taken to the operating room where side and site verification was confirmed correct. The patient was positioned in the supine position with pressure points padded and underwent general anesthesia. The abdomen was prepped and draped in the usual sterile fashion. The infraumbilical incision was opened and purulent secretion was drained (approximately 20 mL).This was collected for wound cultures. The mesh with corresponding sutures were in place. Sutures that were removed as well as the mesh. Copious irrigation was done.
The fascia was cleared. The fascial defect was about 3.0 cm and was closed with figure 8 sutures of 0 PDS. Additional interrupted sutures were placed on the fascia. A JP drain was then left in place and using 3-0 Ethilon the drain was secured to the skin. Staples were then used to close the infraumbilical incision. Sterile dressings were applied. The patient tolerated the procedure well and was taken to the PACU in stable condition.
I come up with
49615 and 49623
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible [GFP 000 days]
INDICATION FOR SURGERY:
39-year-old male with history of umbilical hernia repair on 3 weeks ago who presented today with infected wound.
PREOPERATIVE DIAGNOSIS:
Infected wound s/p umbilical hernia repair
POSTOPERATIVE DIAGNOSIS:
Same
OPERATION:
Exploration of infected wound and primary repair of umbilical hernia.
TECHNIQUE:
The patient was taken to the operating room where side and site verification was confirmed correct. The patient was positioned in the supine position with pressure points padded and underwent general anesthesia. The abdomen was prepped and draped in the usual sterile fashion. The infraumbilical incision was opened and purulent secretion was drained (approximately 20 mL).This was collected for wound cultures. The mesh with corresponding sutures were in place. Sutures that were removed as well as the mesh. Copious irrigation was done.
The fascia was cleared. The fascial defect was about 3.0 cm and was closed with figure 8 sutures of 0 PDS. Additional interrupted sutures were placed on the fascia. A JP drain was then left in place and using 3-0 Ethilon the drain was secured to the skin. Staples were then used to close the infraumbilical incision. Sterile dressings were applied. The patient tolerated the procedure well and was taken to the PACU in stable condition.