Please help with diagnosis and procedure codes for this surgery.
PREOPERATIVE DIAGNOSIS: Nasal trauma.
POSTOPERATIVE DIAGNOSIS: Same.
PROCEDURE PERFORMED: Removal of nasal stent.
INDICATIONS: The patient had an endotracheal tube placed through the nostrils from posteriorly to stent the nose while healing. It is time to remove the stent.
PROCEDURE: The patient was brought to the operating room, general anesthesia was induced and the patient was kept asleep via mask anesthesia. Once proper level of anesthesia was obtained, under apneic conditions, the suture anterior to the nose was cut. The endotracheal tube was then pushed back into the nose. The suture that was on the back of the endotracheal tube was seen in the pharynx and the tube was removed from the nasopharynx then out the mouth. Mucus was suctioned from the mouth and the patient was again ventilated. The nose was suctioned clear and the patient was woken up and taken back to the neonatal intensive care unit in stable condition. The nose looked much better than it was preoperatively prior to the placement of the stent.