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suprapubic exploration for Stamey Pereyra sutures

Lydia Posted Tue 17th of March, 2015 13:20:48 PM

Dr. explored the Stamey-suture area with difficulty. under local anesthesia in the operating room he explored first the left and then the right extensively but even with deep exploration the sutures could not be located. patient had increasing discomfort therefore the procedure was terminated. wounds were sutured with 5-0 Monocryl...CAN SOMEONE HELP ME WITH THE CPT CODE

SuperCoder Answered Wed 18th of March, 2015 02:54:00 AM

Kindly provide more information like diagnosis, procedure performed and details of the procedure, to help us find the correct CPT code.

Lydia Posted Tue 24th of March, 2015 15:20:08 PM

op report: under local anesthesia the Stamey suture area was found with difficulty. The striae marks of previous pregnancies exactly resembled the incision of the Stamey. First, the left and then the right was extensively explored but even with deep exploration the sutures could not be located. The patient had increasing discomfort as the incision went deeper and became tearful. Accordinglym the procedure was terminated. The wounds were sutured with 5-0 Monocryl and the patient left the operating room in satisfactory condition.

SuperCoder Answered Wed 25th of March, 2015 05:55:16 AM

Please let me know for what indication were the stamey sutures placed. What was the diagnosis? Name of the procedure that was performed at the first instant.
If the procedure performed was a major surgical procedure with a global day period of 90 days, the suture removal (which was not performed) is not separately reportable when performed within the global period. When performed outside global period, bill an appropriate E&M code even though the sutures could not be located and procedure was discontinued.

Lydia Posted Wed 25th of March, 2015 12:31:23 PM

past 90 day global, procedure 2013. procedure was cystoscopy, bilateral stamey-pereyra cystourethropexy. dx stress urinary incontinence, morbidly obese

SuperCoder Answered Thu 26th of March, 2015 07:24:35 AM

Kindly bill an E&M code.

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