Anh Posted Wed 11th of February, 2015 17:33:29 PM
Can i use 35521 or 35840, both crossed to major abdominal vessels, I didn't see any major abdominal blood vessels involved, Please help, thank you
The wound VAC was removed and the skin around the wound to be closed was prepped with Betadine and draped in the usual sterile manner. A wound VAC was removed. There were multiple bleeding foci which appeared to be mostly located along the anterior, lateral, and posterior wall of the cavity and. No major bleeding was noted from the iliac vessels. Several of these foci were noted to be minor arterial bleeders with continuous outpouring of blood. These areas were suture ligated with 5-0 Prolene. Multiple bleeders in the subcutaneous tissue and overlying the muscle fascia were electrocoagulated or suture ligated with 3-0 Vicryl. Good hemostasis was the achieved and the wound was packed with Surgiflo with
topical thrombin and Kerlix. A wound VAC was applied in excess of 60 sq cm. Needle, sponge count conducted twice was correct. Initial timeout revealed the patient's identity, FIN number, and site of surgical
intervention. An end timeout was uneventful. Sterilization indicators were adequate
SuperCoder Answered Thu 12th of February, 2015 03:23:18 AM
Code 35840 best matches the above description. 35840 represents Exploration for postoperative hemorrhage, thrombosis or infection; abdomen.