What is the code for laparoscopic splenectomy?
CPT® 38129, Under Laparoscopic Procedures on the Spleen.
What is a laparoscopic splenectomy?
Laparoscopic splenectomy (LS) is the gold standard procedure to remove the spleen in elective patient (1), but remains a very delicate procedure due to fragility of parenchyma and capsule of the spleen and its close connections with stomach, pancreas and colon.
How is a patient positioned for splenectomy?
Laparoscopic splenectomy is preferentially performed in the right lateral decubitus position but may also be performed with the patient supine. Open splenectomy is performed in the supine position.
Where is the incision for splenectomy?
In most patients undergoing splenectomy for a hematologic disorder, a left subcostal incision is employed, beginning to the right of the midline and proceeding obliquely to the left approximately two fingerbreadths below the costal margin. This incision yields excellent exposure (see the image below).
What is the ICD 10 PCS code for splenectomy?
Valid for Submission
| ICD-10-PCS: | 07TP4ZZ |
|---|---|
| Short Description: | Resection of Spleen, Percutaneous Endoscopic Approach |
| Long Description: | Resection of Spleen, Percutaneous Endoscopic Approach |
What is the ICD 10 code for splenic abscess?
D73.3
D73. 3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
What type of doctor removes spleen?
A general surgeon or pediatric surgeon performs a splenectomy. General surgeons specialize in the surgical treatment of a wide variety of diseases, disorders and conditions, including the surgical treatment on the gastrointestinal (GI) tract, or digestive system.
What organs take over after a splenectomy?
What organ takes over after spleen removal? After splenectomy, the functions of the spleen are usually taken up by other organs, such as the liver, bone marrow, and lymph nodes.
What are the complications of splenectomy?
Splenectomy Complications
- Blood clot in the vein that carries blood to the liver.
- Hernia at the incision site.
- Infection at the incision site.
- Inflammation of the pancreas (pancreatitis)
- Lung collapse.
- Injury to the pancreas, stomach, and colon.
Why would you put a patient in Trendelenburg position?
Positioning a patient for a surgical procedure involves reducing risk of injury and increasing comfort. The Trendelenburg position allows a surgeon greater access to pelvic organs, helpful for procedures like colorectal, gynecological, and genitourinary surgery.
What organ takes over after spleen removal?
Living without a spleen. If your spleen needs to be removed, other organs, such as the liver, can take over many of the spleen’s functions. This means you’ll still be able to cope with most infections. But there’s a small risk that a serious infection may develop quickly.
What is a total splenectomy?
A splenectomy is the total or partial surgical removal of the spleen. The spleen is an important part of the body’s defense (immune) system that is situated under the left rib cage near the stomach. The spleen contains special white blood cells that can destroy bacteria.
When was the first laparoscopic splenectomy performed on a woman?
Background. The first splenectomy was performed by Andirano Zaccarello in 1549 on a young woman with an enlarged spleen who survived for 6 years after surgery. [1, 2] Traditionally, surgical removal of the spleen was done by an open approach using either an upper midline or left subcostal incision.
What are the indications for a laparoscopic splenectomy?
Indications. Indications for laparoscopic splenectomy are the same as those for open splenectomy except when emergency splenectomy and exploratory laparotomy for traumatic injuries are needed. Laparoscopic splenectomy is indicated for various benign hematologic diseases, malignant hematologic diseases, secondary hypersplenism,…
Which is the best position for a splenectomy?
Laparoscopic splenectomy is preferentially performed in the right lateral decubitus position but may also be performed with the patient supine. Open splenectomy is performed in the supine position.
When to use an open gastrostomy dictation template?
It provides a detailed operative dictation template. The open gastrostomy is performed when percutaneous or laparoscopic gastrostomy is not an option. It is also performed as an adjunct procedure if prolonged enteral feeding or decompression is needed.