#Dcs system dorsal column stimulator generator#

He presented to the emergency department neurologically intact.

What are the CPT® and ICD-10-CM codes reported? CPT® code: ICD-10-CM code: ĬASE 7 PREOPERATIVE DIAGNOSIS: Acute epidural hematoma POSTOPERATIVE DIAGNOSIS: As above ANESTHETIC AGENT: General Endotracheal OPERATION: Left craniotomy for evacuation of epidural hematoma (emergent) INDICATIONS: The patient presented with a history of a motor vehicle accident. All final needle arid sponge counts were correct. The patient was aroused from sedation and taken to the recovery area in good condition. The wound was irrigated copiously and closed in layers using interrupted 0 and 3-0 Vicryl sutures followed by Mastisol and Steri-Strips to reapproximate the skin.

#Dcs system dorsal column stimulator generator#

The generator was implanted and secured to the fascia using 0 Ethibond suture. An impedance test was performed, which yielded acceptable results. The leads were disconnected from the old generator and connected to the new generator in the same orientation. This was explanted and a new prime advanced generator was prepared. The pouch housing the existing generator was entered. A wide area of the right lateral flank region surrounding her existing scar was prepped and draped in standard fashion and infiltrated with 0.5% Marcaine with 1:200,000 epinephrine. Sedation was induced and a dose of IV antibiotics was administered. The patient was brought to the operating room and positioned on the table in the left lateral decubitus position. PROCEDURE IN BRIEF: After extensive preoperative counseling, informed consent was obtained. On this basis, revision of the device was offered and accepted. The device was interrogated approximately a week prior to this procedure and no telemetry was obtained, indicating a breakdown of the battery. Her current device has a complication in which it began malfunctioning approximately a month prior to this procedure and she has gradually noticed declining effectiveness. INDICATIONS: This woman has a dorsal column stimulator in place and has benefited from the therapy. IMPLANTS: Medtronics prime advanced nonreconstructable generator. ESTIMATED BLOOD LOSS: Less than 5 ml SPECIMENS: None. ATTENDING: John Smith, MD ANESTHESIA: Monitored anesthetic coverage with local. PROCEDURE PERFORMED: Replacement of dorsal column stimulator generator. POSTOPERATIVE DIAGNOSIS: Dorsal column stimulator generator malfunction. CASE 6 PREOPERATIVE DIAGNOSIS: Dorsal column stimulator generator malfunction.