Hi! How would you code for the polyp removal? Thanks!!
POSTOPERATIVE DIAGNOSIS: SP tube polyp.
PROCEDURE PERFORMED: Excision of SP tube polyp.
ANESTHESIA: MAC.
DETAILS OF PROCEDURE: The patient was prepped and draped in standard manner using MAC
anesthesia. At this time, we removed the old suprapubic tube and replaced a new one in. The patient had
a very large polyp and granulation tissue noted around the SP tube site. We anesthetized using 0.5%
Marcaine plain. Once we anesthetized that area, we then used a needlepoint Bovie and excised the
excess thin polyp from that SP tube site. Good hemostasis was obtained. Dressing was placed. The
procedure was terminated. The patient was sent to PAR in stable condition. We will follow in a month. CB 20220125
POSTOPERATIVE DIAGNOSIS: SP tube polyp.
PROCEDURE PERFORMED: Excision of SP tube polyp.
ANESTHESIA: MAC.
DETAILS OF PROCEDURE: The patient was prepped and draped in standard manner using MAC
anesthesia. At this time, we removed the old suprapubic tube and replaced a new one in. The patient had
a very large polyp and granulation tissue noted around the SP tube site. We anesthetized using 0.5%
Marcaine plain. Once we anesthetized that area, we then used a needlepoint Bovie and excised the
excess thin polyp from that SP tube site. Good hemostasis was obtained. Dressing was placed. The
procedure was terminated. The patient was sent to PAR in stable condition. We will follow in a month. CB 20220125