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(Procedure date:01/12/20XX
Surgeon:MD |Assistant:PA
Preoperative diagnosis:Dry gangrene of the left foot in the setting of peripheral vascular disease. Non-pressure chronic ulcer on toe.
Postoperative diagnosis:Dry gangrene of the left foot in the setting of peripheral vascular disease. Non-pressure chronic ulcer on toe.
Procedure:Amputation at the metatarsophalangeal joint of the left third toe
Indication:63-year-old female with peripheral vascular disease; vascular workup determined no further interventions to improve vascularity; third toe became progressively dusky; wound formed distally with chronic ulcer; amputation necessary; risks/benefits discussed.
Description:Left foot and third toe marked; 1 g Ancef given; general anesthesia; supine; calf tourniquet; timeout; tourniquet inflated (no Esmarch); total tourniquet time 5 minutes; tennis racquet incision with longitudinal arm over third metatarsal encircling joint proximal to closure; extensor/flexor tendons and collateral ligaments excised sharply; toe removed; tourniquet released; superficial bleeders cauterized; washed out; skin closed with 3-0 nylon; dry dressing; to PACU in good condition; signed 01/19/20XX 09:41.
Question:What CPT® and ICD-10-CM coding is reported?)
An otolaryngologist performs a tympanoplasty with mastoidectomy, reconstruction of the posterior ear canal wall, and ossicular chain reconstruction.
What CPT® code is reported?