vendredi 19 février 2016

Removal of brachytherapy

Could you please advise me on correct code selection for diagnosis and procedures, i am so confused.

PREOPERATIVE DIAGNOSIS:
1. Ciliochoroidal malignant melanoma with retinal invasion right eye, status
post radioactive iodine brachytherapy plaque placement 1 week ago, right eye
2. Disinserted lateral rectus muscle.
3. Presence of Gundersen conjunctival flap, right eye.

POSTOPERATIVE DIAGNOSIS:
1. Ciliochoroidal malignant melanoma with retinal invasion right eye, status
post radioactive iodine brachytherapy plaque placement 1 week ago, right eye
2. Disinserted lateral rectus muscle.
3. Presence of Gundersen conjunctival flap, right eye.

PROCEDURE:
1. Takedown of Gundersen subconjunctival flap procedure, right eye.
2. Reinsertion lateral rectus muscle (horizontal rectus muscle), right eye.
3. Removal of radioactive iodine brachytherapy plaque, right eye.
4. Posterior sub-Tenon's Kenalog injection, right eye.
5. Sub-Tenon's peribulbar ophthalmic block, right eye.

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Removal of brachytherapy