Question: What code(s) should be reported with the following case? Preoperative diagnosis: Total retinal detachment, right eye Postoperative diagnosis: Same Procedure performed: Complex repair of retinal
What code(s) should be reported with the following case?
Preoperative diagnosis: Total retinal detachment, right eye
Postoperative diagnosis: Same
Procedure performed: Complex repair of retinal detachment with photocoagulation, scleral buckle, sclerotomy/vitrectomy
Anesthesia: Local
Procedure: The patient was placed, prepped, and draped in the usual manner. Adequate local anesthesia was administered.
The operating microscope was used to visualize the retina, which has fallen into the posterior cavity. The vitreous was extracted using a VISC to complete the posterior sclerotomy. Minimal scar tissue was removed to release tension from the choroid. The retina was repositioned and attached using photocoagulation laser, a gas bubble, and a suture placement of a scleral buckle around the eye. The positioning of the retina was checked during the procedure to ensure proper alignment. Antibiotic ointment was applied to the eye prior to placement of a pressure patch. The patient tolerated the procedure well and returned to the recovery suite in satisfactory condition.
a. 361.05, 67113-RT, 67107-51, 67145-51, 66990-51
b. 361.05, 67113-RT, 69990-RT
c. 361.00, 67113-RT, 66990-RT
d. 361.00, 67113-RT, 67107-51, 67145-51, 66990-51
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