Question

LOCATION: Outpatient, Hospital PATIENT: Shelby Winston SURGEON: Larry P. Friendly, M.D. PREOPERATIVE DIAGNOSIS: Recurrent right inguinal hernia. POSTOPERATIVE DIAGNOSIS: Same. PROCEDURES PERFORMED: Repair of recurrent right inguinal hernia. HISTORY: This is an 80-year-old female who has previously undergone a right inguinal hernia repair performed earlier this year. The repair was a type repair, and she, subsequently, returned with complaints of a new bulge in the right groin. An ultrasound was performed which demonstrated evidence of a right inguinal hernia. She now comes back to the operating room for repair of her recurrent right inguinal hernia. ANESTHESIA: Regional block. DESCRIPTION OF PROCEDURE: After adequate IV sedation, the abdomen and groin were prepped and draped in standard surgical fashion. Lidocaine 1% was injected in the right groin to produce a regional block. We then incised through the previous groin crease incision. We dissected down to the level of the external oblique fibers. We then opened these medially and laterally. We were able to clear off the floor of the inguinal canal using combination of sharp and blunt dissection. We were then able to identify a recurrence of her indirect inguinal hernia. There was evidence of a lipoma in the peritoneum. We therefore ligated the lipoma and transected this at its base. We then closed the internal ring using 0 Nurulon in an interrupted manner. I then elected to place a piece of Ultrapro mesh in the floor of the inguinal canal to provide further support for the repair. This was sutured in place with 2-0 Prolene in a running manner along the inguinal ligament and interrupted manner superiorly to the internal oblique transversus abdominis. We then irrigated out the wound. We assured we had adequate hemostasis. We then closed the external oblique fascia using 2-0 Vicryl. Scarpa's was closed using 3-0 Vicryl in an interrupted manner. Skin was then closed using 4-0 Monocryl in a running subcuticular manner. All sponge, needle and instrument counts were correct at the end of the case. The patient tolerated the procedure well. She was awakened, and returned to the recovery room in good condition. Pathology Report Later Indicated: Indirect inguinal hernia sac. There was evidence of a lipoma in the peritoneum tissue. LOCATION: Inpatient, Hospital PATIENT: Trudy Hammerlock ATTENDING PHYSICIAN: Ronald Green, M.D. Trudy is a 40-year-old who is a C5 quadriplegic who developed a urinary tract infection with sepsis, E. coli and developed a hospital-acquired pneumonia with staph aureus. There was also bacteremia with it. It is not MRSA though. She has been transferred to the floor. We are in the process of weaning down the ventilator, and we are able to get her down on the ventilator with a SIMV rate of 10. She remains afebrile. Chest is clear. We are trying to decide which of the central lines to remove. She has got two in now but they are both tunneled. She is anticoagulated. We have to assess which of the lines is the oldest and get rid of the oldest line and that will take some time to clot. We will have to come back a little bit later when we figure out which catheter I want to remove and what the anticoagulation is at that time, because the tunneled catheter is going to bleed. Hopefully, we can keep it down to a minimum.

Need CPT CODES, ICD 10 CODES, HCPCS CODES

Answer 1

Answer :

ICD 10 CM code for Right inguinal hernia is " K40. 90"

CPT code for inguinal hernia repair is, " 49651"

Because here the patient is having reccurence of inguinal hernia, it is repaired by surgically.

HCPCS means health care procedure coding system, these are based on the American Medical Association's current procedural terminology.

So the CPT and HCPCS are same.