Is there another code beside '54120'[Amputation of penis: partial] for the Urethra reconstruction? I have 1 code in mind '53410'[1-stage reconstruction of male anterior urethra] but not sure if the urethra reconstruction is included in '54120'.
PROCEDURE: Partial tenectomy
INDICATIONS: This is a 76-year-old gentleman who presents with a history of a penile mass. He states the problem started approximately 8 to 9 months ago when he noticed a lesion on the penis. Shortly after that, he developed bilateral groin masses and these appeared to be either cancers or inflammatory. According to the patient, his primary doctor or other health care provider performed an incision and attempted drainage of the right
inguinal groin nodes. Since that time that area has expanded in size and is extremely purulent, foul-smelling. On CT scan, patient had a large heterogeneous solid mass involving the penis and likely involvement of inguinal nodes versus inflammatory nodes. There was also at least one node intra-abdominally. The patient was offered partial tenectomy for purposes of histologic diagnosis as well as local control. Risks, benefits, and alternatives including that of long term erectile dysfunction were carefully discussed. Patient understands. He is seen at this time for further management.
OPERATIVE SUMMARY: Patient was prepped and draped in usual sterile fashion in
the supine position. Careful time-out procedure was performed identifying
patient and procedure correctly. A glove was used to isolate the penile tumor
from the rest of the surgical field. When this was outlined using pen,
partial tenectomy was completed by amputating the penis. Care was taken to
allow for some dorsal skin to be extra over the top. At this point, a
tourniquet using a Penrose drain was used to control blood loss. The corporal
bodies were individually oversewn with 3-0 Monocryl. The urethra was
spatulated anteriorly and was brought through a buttonhole, which was created
on the dorsal foot of skin and secured with 3-0 Monocryl. The urethral meatus
was then splayed open. A stoma type arrangement was created at the opening in
the penile skin. The skin edges of the penis were then closed with
interrupted 4-0 chromics. A 16-French Foley catheter was then inserted into
the bladder and clear urine was obtained. Next, attention was turned to the
right groin, which was then irrigated using pulse lavage and GU antibiotic.
Because of the uncertainty of the depth of this lesion and its close proximity
to the vessels, no significant debridement of the area was attempted at this
point in time. The area was then packed with sterile gauze. Antibiotic
ointment was applied to the penile incision. The catheter was connected to
gravity drainage. All sponge, needle, instrument counts were correct x3
following the case. Patient was sent to recovery in stable condition. The
patient will be observed for 23 hours in the hospital prior to discharge.
