Need help with coding the following:
Patient was brought to operating room, place in supine posistion. Anesthesia was administered generally without difficulty. Patient was prepped and draped in the usual sterile fashion over the anterior abdomen. The previous vertical incision was reopened. There was inflammatory change. The subcutaneous tissued were dissected carefully using electrocautery. There was a small pocket noted in the anterior surface secondary to inflammatory change. Multiple attempts were made to enter the site of the mesh from above the middle and below. Finally, the cavity was entered in the midportion of mesh, anaerobic and aerobic cultures were sent. The dual mesh was surrounded in pus. It was removed, sent to pathology for tissue culture as well. Copious irrigation was done in the abdomen. There was peel noted on the anterior surface of the abdomen. This was not removed secondary to the anticoagulation and significant inflammatory change. At this point, decision was made not to place any Alloderm with concern of infection into this area and the incison was closed using #1 nylon retention sutures and 0-looped PDS running suture for the fascia. Skin was left open and packed with a dressing. CPT 11008 for the removal of mesh, but uncertain as to primary code since 11008 is an add-on code.