Postoperative diagnosis: Severe to profound sensorineural hearing loss
OPERATIVE PROCEDURE: Revision of left cochlear implant
ANESTHESIA: General endotracheal
ESTIMATED BLOOD LOSS: Less than 20mL
INDICATIONS: The patient has a history of left ear sided cochlear implantation. Unfortunately, the patient has thick skin and unusually prominent musculature overlying the implant. The magnet on the external processor will not hold the implant to the skin and have been unable to make the processor communicate adequately with the implant. It is therefore necessary to return the patient to surgery to excise some of the mesodermal tissue between the skin and the implant.
FINDINGS: The implant was in appropriate position and did not appear to have moved from the operative location.
DETAILS OF THE PROCEDURE: The patient was taken to the operating room and placed in the supine position, where anesthesia was administered via the general endotracheal route.
Next, the postauricular skin was steriley prepped and draped, and a 3cm linear incision was made. The incision was carried down to the implant and once identified the mesodermal tissue between the deep dermis and the implant was carefully excised. Care was taken to not make the skin flap to thin and compromise the blood supply. Additionally care was taken to avoid injury to the implant.
The incision was closed using a combination of 3-0 and 4-0 interrupted Vicryl sutures. The entire implant and electrodes were completely covered with by overlying mesoderm. The deep dermal incision was closed using 4-0 Vicryl. The superficial dermal layer was closed using 4-0 Monocryl, Dermabond and a Steri-Strip. A mastoid dressing was placed over the the wound.
The patient was awakened, extubated, and taken to recovery in stable condition.
Can someone please help me code the cpt code and diagnosis codes?
Patient has Medicare insurance only.
thank you very much!!!
Diana, CASCC
Baha Billing Code
Aucun commentaire:
Enregistrer un commentaire