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A patient presented for hysteroscopic removal of their intrauterine device (IUD). On examination in the office, the IUD strings could not be visualized in the vagina or passing through the cervix; ...
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A patient presents to surgery one week post complete mastectomy, for re-excision of positive muscle margins. The patient was thought to have residual tumor invading the skeletal muscle involving th...
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A patient with a history of breast reconstruction now has a chronic wound of the left breast with impending implant exposure. Per the provider, the patient presented to surgery for left breast impl...
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After a patient had an initial pelvic examination under anesthesia, attention was turned to laparoscopic access and a supraumbilical incision was made. Trocars were introduced and examination revea...
Assign CPT c...
The patient, whom had a previous L4-S1 fusion and an auto-fusion of T12-L1, has now developed spinal stenosis of L1-L4 and presented for decompression. After a posterior midline incision was made t...
Based on the...
A 33 year-old patient was seen at our facility for a peripherally inserted central catheter (PICC) line insertion. A subcutaneous port was not placed in this procedure.
Would it be appropriat...
The reportin...
A 16-year-old patient inadvertently got his finger caught between his boat and the dock and suffered a crush injury to the right carpometacarpal. He underwent treatment of the open fracture as well...
Repair of a ...
What is the appropriate code assignment(s) for a laparoscopic uterine nerve ablation (LUNA) procedure?
...Currently, t...
A patient was in the operating room (OR) suite being monitored by the anesthesiologist, but not yet given sedation/anesthesia. He was to have an epicardial lead placement (the pacemaker was already...
According to...
At our facility, the physician performs an endometrial ablation utilizing the Novasure technique. Some have suggested assigning CPT code 58353, Endometrial ablation, thermal, without hysteroscopic ...
The Novasure...