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Focal Argon Laser for Macroaneurysms

Erin Posted Tue 14th of May, 2013 20:32:15 PM

Please help-

Our doctor performed a focal argon laser to treat von Hippel's disease (dx 759.6), which is in the pt's left eye. This apparently is causing leakage and fluid accumulation around the paracentral region.
I'm not sure if I should use an unlisted code or a vitrectomy code. I don't think any laser codes for the retina, but the aneurysms are located "supranasally and supratemporal near the optic disk in the LT eye."
The op report is very unhelpful...

SuperCoder Answered Wed 15th of May, 2013 05:38:57 AM

Hi,

I have shared this question with my colleague. Will let you soon.

Thanks.

Erin Posted Fri 24th of May, 2013 19:06:00 PM

Anyone have an answer for this?

SuperCoder Answered Tue 28th of May, 2013 17:38:31 PM

Hi,

I have shared your query with my editors too. They all are asking to submit the OP report in order to get the complete picture and more definitive answer.

Please submit the OP report.

Thanks

Erin Posted Wed 29th of May, 2013 20:57:00 PM

DX: Von Hipple disease of the left eye w/ macroaneurysms, leaking.
Procedure: focal argon green laser treatment for macular aneurysm treatment

HPI: pt has recurrent problem with von Hipple aneurysms in left eye. Has developed 3 new aneurysms which has resulted in leakage and fluid accumulation around his paracentral region.

Procedure:
The patient was brought in through the laser room. The eye had already been dilated with 1% Mydriacyl and 2.5% Neo-Synephrine. A drop of Alcaine was placed in the eye, and a Goldmann 3-mirror lens was coupled to the eye using Goniosol. Using a 200 micron spot size at 0.1 second durations, 0.17 watts of power in a single burst mode 127 spots used to coagulate microaneurysms, supratemporal, and supranasal and inferonasal to the fovea along the arcades for 2 large aneurysms. The patient tolerated the procedure well and was sent home in good condition.

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