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Filpped port reservoir

Date: Feb 21, 2020

Question:

Per Ask Dr. Z #3769 from 2012 & #5073 from 2013, an unlisted code was suggested for repositioning a port. Would same be suggested in 2020 for the following? Recently created port pocket incision was reincised, and suture material removed. Port reservoir was identified and anchored with 2 sutures of 2-0 PDS plus on a blunt needle. The port was then accessed with a noncoring needle, aspirated and flushed. The port was flushed with 100 units/mL heparinized saline solution. The port pocket was closed with sutures of 4-0 Monocryl and Dermabond. The port was deaccesed. The patient tolerated the procedure well and without immediate complications. Port reservoir was noted to be flipped such that the base was anterior. Fluoroscopy confirms the suspicion. On opening the port pocket, the reservoir was able to be righted without difficulty. After anchoring the reservoir with sutures, it was easily accessed. Blood was able to be freely aspirated; the port flushed easily. How will this currently be coded?

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