Hello,
how should i code the failed dye injection for sentinle lymph node biopsy?
Operation Name: LEFT MASTECTOMY , LEFT SLNB proceeded TO LEFT AXILLARY DISSECTION
Intra-Operative Events:
COMPLETION OF SLNB WAS ABORTED DUE TO FALIURE OF DYE OR RADIOACTIVE TRACER TO IDENTIFIED AT AXILLA , SO GO WITH FORMAL AXILLARY DISSECTION
Procedures: IN ASEPTIC Technique
INJECTION OF METHYLEN BLUE AND RADIOACTIVE TRACER DONE SUBCUTANEUOSLY LEFT BREAST RETROAREOLAR AREA, MASSAGE DONE FOR ABOUT 15 MINS, NO SIGNS OF RADIOACTIVE TRACE SEEN.
SCRUBBING AND DRAPPING DONE
ELLIPTICAL INCISION LEFT BREAST, LEFT AXILLA ENTERED
NO SIGNS OF COLOURED LN OR UP TAKE OF RADIONACTIVE TRACER
SLNB DECLEARED FAILURE, TO PROCEED LEFT AXILLARY LYMPH NODE DISSECTION DONE WITH PRESERVATION OF LEFT AXILLARY VEIN , LONG THORACIC NERVE AND THORACODORSAL NERVE SUPERIOR AND INFERIOR BREAST FLAP DONE
BREAST TISSUE EXCISED HEMOSTASIS SECURED 2 DRAINS 18 IN AXILLA AND 16 IN THE CBREAST AREA PALCED IN SKIN COLSED IN 2 LAYERS
how should i code the failed dye injection for sentinle lymph node biopsy?
Operation Name: LEFT MASTECTOMY , LEFT SLNB proceeded TO LEFT AXILLARY DISSECTION
Intra-Operative Events:
COMPLETION OF SLNB WAS ABORTED DUE TO FALIURE OF DYE OR RADIOACTIVE TRACER TO IDENTIFIED AT AXILLA , SO GO WITH FORMAL AXILLARY DISSECTION
Procedures: IN ASEPTIC Technique
INJECTION OF METHYLEN BLUE AND RADIOACTIVE TRACER DONE SUBCUTANEUOSLY LEFT BREAST RETROAREOLAR AREA, MASSAGE DONE FOR ABOUT 15 MINS, NO SIGNS OF RADIOACTIVE TRACE SEEN.
SCRUBBING AND DRAPPING DONE
ELLIPTICAL INCISION LEFT BREAST, LEFT AXILLA ENTERED
NO SIGNS OF COLOURED LN OR UP TAKE OF RADIONACTIVE TRACER
SLNB DECLEARED FAILURE, TO PROCEED LEFT AXILLARY LYMPH NODE DISSECTION DONE WITH PRESERVATION OF LEFT AXILLARY VEIN , LONG THORACIC NERVE AND THORACODORSAL NERVE SUPERIOR AND INFERIOR BREAST FLAP DONE
BREAST TISSUE EXCISED HEMOSTASIS SECURED 2 DRAINS 18 IN AXILLA AND 16 IN THE CBREAST AREA PALCED IN SKIN COLSED IN 2 LAYERS
Faliure of dye ?
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