WHAT ARE THE ICD-10-CM AND CPT CODE??? Scenario 4 The patient was taken to the operating room and placed in the supine p
Posted: Thu Mar 31, 2022 8:11 am
WHAT ARE THE ICD-10-CM AND CPT CODE???
Scenario 4 The patient was taken to the operating room and
placed in the supine position on the operating room table. General
endotracheal anesthesia was administered. The patient was shaved,
prepped, and draped in the usual sterile fashion. Initially a small
incision was made in the right superior hemiscrotum, and the
incision was carried down to the vas deferens. This incision was
carried down to the area of the previous vasectomy. A towel clip
was placed around this. Next the scarred area was dissected free
back to normal vas proximally and distally. Approximately 4 cm of
vas was freed up. Next the vas was amputated above and below the
scar tissue. Fine hemostats were used to grasp the adventitial
tissue on each side of the vas, both the proximal and distal ends.
Both ends were then dilated very carefully with lacrimal duct
probes up to a #2 successfully. After accomplishing this, fluid
could be milked from the proximal vas which was encouraging. Next
the reanastomosis was performed. Three 7-0 Prolene were used, and
full thickness bites were taken through the muscle layer of the vas
deferens and into the lumen. This was all done with 3.5 loupe
magnification. Next the vas ends were pulled together by tying the
sutures. A good reapproximation was noted. Next in between each of
these sutures two to three of the 7-0 Prolenes were used to
reapproximate the muscularis layer further to make this fluid
tight. There was no tension on the anastomosis and the vas was
delivered back into the right hemiscrotum. The subcuticular layers
were closed with a running 3-0 chromic and the skin was closed with
three interrupted 3-0 chromic sutures. Next an identical procedure
was done on the left side. The patient tolerated the procedure well
and was awakened and returned to the recovery room in stable
condition. Antibiotic ointment, fluffs, and a scrotal support were
placed.
Scenario 4 The patient was taken to the operating room and
placed in the supine position on the operating room table. General
endotracheal anesthesia was administered. The patient was shaved,
prepped, and draped in the usual sterile fashion. Initially a small
incision was made in the right superior hemiscrotum, and the
incision was carried down to the vas deferens. This incision was
carried down to the area of the previous vasectomy. A towel clip
was placed around this. Next the scarred area was dissected free
back to normal vas proximally and distally. Approximately 4 cm of
vas was freed up. Next the vas was amputated above and below the
scar tissue. Fine hemostats were used to grasp the adventitial
tissue on each side of the vas, both the proximal and distal ends.
Both ends were then dilated very carefully with lacrimal duct
probes up to a #2 successfully. After accomplishing this, fluid
could be milked from the proximal vas which was encouraging. Next
the reanastomosis was performed. Three 7-0 Prolene were used, and
full thickness bites were taken through the muscle layer of the vas
deferens and into the lumen. This was all done with 3.5 loupe
magnification. Next the vas ends were pulled together by tying the
sutures. A good reapproximation was noted. Next in between each of
these sutures two to three of the 7-0 Prolenes were used to
reapproximate the muscularis layer further to make this fluid
tight. There was no tension on the anastomosis and the vas was
delivered back into the right hemiscrotum. The subcuticular layers
were closed with a running 3-0 chromic and the skin was closed with
three interrupted 3-0 chromic sutures. Next an identical procedure
was done on the left side. The patient tolerated the procedure well
and was awakened and returned to the recovery room in stable
condition. Antibiotic ointment, fluffs, and a scrotal support were
placed.