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Resection of Infected Thrombosed Aneurysmal AVF-Suggested CPT Code(s)
Question:
Please assist with suggestion for CPT code(s) :
ACCESS ANEURYSM RESECTION
Pre/Post-Operative Dx: Infected thrombosed aneurysmal AVF- Complete resection all infected tissue
Indications for surgery:
Longstanding right AVF, aneurysmal. Now thrombosed with infected open wound. Catheter in place.
Procedure:
The procedure had been discussed with patient (and family when present) all questions answered. The patientconsented to the procedure including intraoperative decision-making and alteration of plan as needed. After site marking thepatient was brought to the OR and sedation and block were administered by the anesthesia team. The right arm was preppedand draped per routine and a time out verified correct patient procedure and side.
We fashioned two incisions to resect all compromised skin and infection. The aneurysm was entered and subtotally resected,removing all abnormal tissue.
The wound was irrigated and closed using 2-0 Nylon mattress sutures and the arm wrapped. Sponge needle and instrument counts were correct.
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