Abstract from Documentation: Refer to Repair, Eyelid in the Alphabetic Index. What code range is applicable?
Preoperative Diagnosis: Left upper lid laceration
Postoperative Diagnosis: Left upper lid laceration
Procedure: Left upper lid laceration repair with exam under anesthesia
Anesthesia: General
Complications: There were no complications.
Indications: This 4-year-old child suffered a dog bite to his left upper lid and was unable to be repaired successfully in the emergency room. After obtaining informed consent, he was taken to the operating room.
Description of the Procedure: The patient was prepped and draped in the usual sterile fashion. The wound margins were reapproximated using 6-0 absorbable suture and 2 lid margin sutures were placed using 6-0 silk. The injury was limited to the epidermis and part of the dermis. There was no structural damage to the blood vessels or deeper tissue layers. The lid was noted to be in good position, and then all skin lacerations were closed using a combination of 6-0 running and 6-0 interrupted nylon.
The patient then had his eye dilated, and exam under anesthesia was carried out using an indirect ophthalmoscope. There was no evidence of trauma to the globe or the posterior pole.
The patient was taken to the recovery room in good condition and will be sent home today to follow up in my office.
Wound, Suture (67930–67935) The code selection is determined by extent of the wound repair; was it partial thickness or full thickness? Since the suturing was limited to the epidermis and part of the dermis, it is a partial thickness wound repair.
CPT Code Assignment:
67930-E1 Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness
?
You might also like to view...
A patient complains of chest pain but denies any difficulty breathing. The lack of difficulty breathing is considered:
A) pertinent medical history. B) a pertinent negative. C) superfluous information. D) a relevant finding.
What is the purpose of valves in the circulatory system?
A) Control the volume of blood moved in each pulse B) Prevent the backflow of blood in the vessels C) Support the bifurcation of the veins D) Allows for expansion and contraction of the veins
____ is defined as the practice and discipline of improving the health of communities, and is focused primarily on prevention of illness and injury.
A. Public policy B. Public health C. Health policy D. Health services
Which cranial nerve innervates the muscles of the throat, neck, and voice box?
A. hypoglossal nerve B. accessory nerve C. vagus nerve D. glossopharyngeal nerve