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JustCoding News: Inpatient, September 16, 2009

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A patient was brought to the operating room and placed on the operating table in the prone position. Time out was performed to identify the correct patient and procedure. Any questions and concerns were addressed at this time. The patient was then given appropriate perioperative antibiotics. His bandages were removed, and the electrode coming out of his skin was cut with heavy scissors. His lower back was then prepped and draped in the usual sterile fashion. A 10-blade was then used to cut his previous incision site on the right lower quadrant of his back. We dissected down to the subcutaneous tissue and found the wire with its boot. We then pulled the tunneled portion of the wire out from the skin into our incision site. The boot was then removed. We then used blunt dissection to create a pocket for the device. The device was then attached to the electrode and screwed in place, making sure to hear it click. The device was then implanted. Vicryl 3-0 sutures were used to close the subcutaneous tissue. The skin was then closed with a 4-0 Monocryl running subcuticular suture. Mastisol, Steri-Strips, gauze and Tegaderm were then placed. The patient was then brought to the post anesthesia care unit in good condition. Is code 64585 the correct code to report for this encounter?

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