icd 9 code for prominent left hemisternum

What is the ICD 9 code for diagnosis?

ICD-9-CM 747.49 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 747.49 should only be used for claims with a date of service on or before September 30, 2015.

What is the ICD 9 code for Scimitar syndrome?

Scimitar syndrome (anomalous venous drainage, right lung to inferior vena cava) 747.49 ICD-9-CM codes are used in medical billing and coding to describe diseases, injuries, symptoms and conditions. ICD-9-CM 747.49 is one of thousands of ICD-9-CM codes used in healthcare.

What is the ICD-9-CM code for medical coding?

ICD-9-CM 747.49 is one of thousands of ICD-9-CM codes used in healthcare. Although ICD-9-CM and CPT codes are largely numeric, they differ in that CPT codes describe medical procedures and services. Can't find a code?

What is code Z98 89?

ICD-10 code Z98. 89 for Other specified postprocedural states is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What does diagnosis R53 83 mean?

ICD-9 Code Transition: 780.79 Code R53. 83 is the diagnosis code used for Other Fatigue. It is a condition marked by drowsiness and an unusual lack of energy and mental alertness. It can be caused by many things, including illness, injury, or drugs.

What is diagnosis code L98 9?

ICD-10 code: L98. 9 Disorder of skin and subcutaneous tissue, unspecified.

What is the ICD-10 code for left without being seen?

21: Left Without Being Seen.

What is R53 81 diagnosis?

R53. 81: “R” codes are the family of codes related to "Symptoms, signs and other abnormal findings" - a bit of a catch-all category for "conditions not otherwise specified". R53. 81 is defined as chronic debility not specific to another diagnosis.

What is the diagnosis for ICD-10 code r50 9?

9: Fever, unspecified.

What is the ICD-10 code for lesion?

Disorder of the skin and subcutaneous tissue, unspecified The 2022 edition of ICD-10-CM L98. 9 became effective on October 1, 2021. This is the American ICD-10-CM version of L98.

What is the ICD-10 code for suspicious lesion?

ICD-10-CM Diagnosis Code B08 B08.

What is skin and subcutaneous tissue disorders?

Panniculitis. Panniculitis is a group of conditions that causes inflammation of your subcutaneous fat. Panniculitis causes painful bumps of varying sizes under your skin. There are numerous potential causes including infections, inflammatory diseases, and some types of connective tissue disorders like lupus.

How do you code left against medical advice?

Left Against Medical Advice is indexed in ICD-10-CM as Z53. 21, which implies that the patient has seen a healthcare professional. Left against medical advice can be confused with a discharge status.

Which of the following ICD 9 CM conventions is used around synonyms alternative wordings or explanations?

CPT Coding Mid Term College America Kate PlucasQuestionAnswerA_______ is a procedure performed for definitive treatment rather than diagnostic purposes.Principal ProcedureWhich of the following ICD-9-CM conventions is used around synonyms, alternative wording or explanations?[ ]18 more rows

What is a lateral diagnosis is required?

"Laterality" (side of the body affected) is a new coding convention added to relevant ICD-10 codes to increase specificity. Designated codes for conditions such as fractures, burns, ulcers, and certain neoplasms will require documentation of the side/region of the body where the condition occurs.

What does unspecified vitamin D deficiency mean?

A nutritional condition produced by a deficiency of vitamin d in the diet, insufficient production of vitamin d in the skin, inadequate absorption of vitamin d from the diet, or abnormal conversion of vitamin d to its bioactive metabolites.

What diagnosis code S should be reported for acute and chronic cystitis?

N30. 00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM N30. 00 became effective on October 1, 2021.

What is the diagnosis code s for a patient with bronchitis and the flu?

J20. 1 Acute bronchitis due to Hemophilus influenzae... J20. 5 Acute bronchitis due to respiratory syncytial...

What is a feeling of malaise?

Malaise is a general feeling of discomfort, illness, or lack of well-being.

What is the ICd 10 code for vein disease?

Disorder of vein, unspecified 1 I87.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM I87.9 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of I87.9 - other international versions of ICD-10 I87.9 may differ.

When will ICD-10-CM I87.9 be released?

The 2022 edition of ICD-10-CM I87.9 became effective on October 1, 2021.

Why is it important to spare the pericardiacophrenic artery?

It is important to spare the pericardiacophrenic artery as it is a major blood supply to the phrenic nerve.

Where does the phrenic nerve run?

At this point, the run off of the phrenic nerve cannot be visualized. On entering the pleural cupule by removing the fatty tissue just behind the brachiocephalic vein, the phrenic nerve comes into view. This white cord-like structure runs in front of the artery and crosses it from the lateral to the medial aspect.

What is the name of the blade used to dissect the artery from the chest wall?

Downward traction of the fascia with the pedicle, together with cold (blunt) dissection using the electrocautery blade separates the artery from the chest wall, surrounding muscle, fascia.

What is longitudinal fascial incision?

A longitudinal fascial incision is made approximately 1 cm lateral and medial to the artery. The artery is harvested as a pedicle including the fascia, muscle, connective tissue, and both veins. The incision is made on the cartilage as there are no branches of the artery. The entire pedicle can be detached from the chest wall.

Where is the medial aspect of the endothoracic fascia incised?

The medial aspect of the endothoracic fascia is then incised at most accessible portion of the IMA, usually at the level of the middle or inferior third. Care must be taken not to grasp the artery directly; retraction against the vein or fascia is preferable.

What is an IMA retractor?

An a symmetric (IMA) sternal retractor used to elevate the hemisternum.

Where is the pleural space?

The pleural space may be opened widely from the apex near the subclavian vein to the diaphragm.

Device Description and Surgical Technique

The sternal device (Mikai SpA, Vicenza, Italy) consists of separate clips made of a 0.7 mm thick titanium (Figure 1), sliding one into each other to form two arms placed on both sides of the sternum ( Video 2 ).

Results

Indications for use have been prevention of sternal fracture after sternotomy in patients with severe osteoporosis, when a faulty sternotomy has been performed, in obese patients, or when additional risk factors for wound dehiscence are present.

Disclosure

The first author (JZ) discloses a financial arrangement with the manufacturer of this device.

Abstract

Chest wall resection following wide local excision for bone tumor results in a large defect. Reconstructing this defect is complex and requires skeletal and soft tissue reconstruction.

Introduction

Chondrosarcoma of the chest wall is rare, and when diagnosed requires a full thickness wide local excision of the tumor and chest wall to ensure tumor-free margins, minimize local recurrence and contribute to long-term survival [ 1 ].

Methods

A 70-year male, an ex-smoker presented to our regional cardiothoracic surgical unit at Morriston Hospital, Swansea, with a right anterior pectoral mass measuring approximately 10 cm by 9 cm estimated to have been present for about twelve months.

Results

Histology confirmed an 80 mm, grade 1 chondrosarcoma. A minimum of 2 cm all round tumor-free microscopic margins on the ribs and sternum were achieved. During the post-operative recovery period regular chest physiotherapy exercises were provided. The hospital discharge was delayed due to prolonged drainage of serous fluid from the harvest site.

Conclusion

The use of 3-D laser printing technology to construct a custom-made, anatomical, 3-D printed titanium ribs and hemi-sternum chest wall implant is a useful adjunct to the surgeon that helps reduce the technical challenge and operative time required for reconstructing large chest wall skeletal defects.

Availability of data and materials

All information pertaining to the study, namely pictures, patient consent and operation notes is available for review.

Acknowledgments

3-D Maxillofacial Laboratory, Morriston Hospital, Swansea, and Medical Applications Group, Product Design and Research, Cardiff Metropolitan University for help with the titanium printing.