code with icd 10 pcs
Operative Report AFOPERATIVE DIAS ATIVE DIAGNOSIS: Gangrene of the left foot ERATIVE DIAGNOSIS: Gangrene of the left foot Lef
Format for each case: 1. Principal Diagnosis (list only do not code) 2. Additional Diagnosis (list if applicable, do not code
Operative Report AFOPERATIVE DIAS ATIVE DIAGNOSIS: Gangrene of the left foot ERATIVE DIAGNOSIS: Gangrene of the left foot Left below-knee amputation ASTOPERATIVE DIAGA OPERATION: NDICATIONS FOR ONS FOR SURGERY: This is an 86-year-old male who has a history of vasculitis, and peripheral disease, who presents with gangrene of the left foot. He has developed gangrene of his left foot. showed most disease in the distal vessels and surgical treatment is not an option for these The gangrene continues to progress and our recommendation is below-knee amputation, to which Ingiogram showed the patient agrees. DESCRIPTION OF PROCEDURE: After general anesthesia was initiated and regional nerve blocks were per- imed, the patient was placed supine on the table and his entire left lower extremity was prepped and draped ina sterile fashion. Fish-mouth incisions were made around the entire circumference of the lower calf region. Dissection vis completed through the subcutaneous and fascia layers. The posterior flap was created including both the pastrocnemius and the soleus muscles. The posterior tibial vessels were tied and transected. Following this, the muscles of the anterior and lateral compartments were transected with the cautery. The anterior tibial vessels were tied and transected. The tibia was then cut at mid calf with a bone saw. The fibula was also cut at mid calf vith the bone saw. The peroneal vessels were tied and transected. The remaining muscles were transected and the specimen was sent to Pathology. After hemostasis was achieved, the wound was irrigated and hemostasis mecked again. The wound was closed in layers over the bone using 0 chromic to form the stump. The fascia was used with 2-0 Vicryl in interrupted fashion. The skin was closed with staples and the stump was splinted. The Pient tolerated the procedure well and was sent to PACU in stable condition.
Format for each case: 1. Principal Diagnosis (list only do not code) 2. Additional Diagnosis (list if applicable, do not code) 3. Principal Procedure: List and code 4. Secondary Procedures: List and code