Nancy Posted Mon 21st of October, 2019 09:40:34 AM
The patient was taken to the operating room today for robotic exploration and excision of left perirectal mass. The mass was located below the left ureter and lateral to the rectum. The mass was continuous with previously placed titanium clips that were placed during prior open prostatectomy. The mass was quite close to the rectum and bladder. Both were intact at the end of the procedure. The left ureter was identified and was intact. The area of concern extended in the plane between the rectum and bladder in the area of Denonvilliers fascia. Would 38571 be correct or unlisted code?
SuperCoder Answered Tue 22nd of October, 2019 05:45:11 AM
Hi Nancy In the procedure code the provider enters the abdomen and there is good visualization of the cavity he removes any adhesions if present Then the provider explores the abdomen and excises all of the lymph nodes in the pelvis Additionally in cases of extensive metastatic cancer it may...