33365 Transcatheter Aortic Valve This Assignment

This assignment is for someone who has experience in the
medical field. This is for someone who has experience with 3M Encoder. Compare each lay description (provided) to the description found in the CPT manual. I have attached 5 lay descriptions from the 3M Encoder software.

43634

The physician removes the distal stomach (antrum) and performs an anastomosis between the stomach and a pouch formed of jejunum. The physician makes a midline abdominal incision. The distal stomach is dissected free of surrounding structures and the blood supply to the antrum is divided. The gastroduodenal junction and the middle portion of the stomach are divided and the antrum is removed. The vagus nerves, as they pass from the esophagus onto the stomach, are usually divided. The proximal jejunum is divided and the distal end is folded upon itself and approximated in such a way to form a pouch. The pouch is connected to the proximal stomach and the proximal end of the divided jejunum is connected to the jejunal limb distal to the pouch anastomosis to establish intestinal continuity. The incision is closed.

10160

The physician performs a puncture aspiration of an abscess, hematoma, bulla, or cyst. The palpable collection of fluid is located subcutaneously. The physician cleanses the overlying skin and introduces a large bore needle on a syringe into the fluid space. The fluid is aspirated into the syringe, decompressing the fluid space. A pressure dressing may be placed over the site.

11008

The physician removes prosthetic material or mesh previously placed in the abdominal wall. This may be done due to the presence of a chronic infection, a necrotizing soft tissue infection, or a recurrent mesh infection. Surgery is performed immediately after diagnosis and usually under general anesthesia. The skin is incised and the tissue dissected exposing the prosthetic material. Debridement of the tissue adjacent to or incorporated in the mesh may be performed with instruments or irrigation. Unincorporated or infected areas of the mesh are excised and removed with any remaining areas of infection or necrotic tissue. Incorporated mesh that is not infected may be left in the wound. The area is irrigated and the wound is sutured.

33365

Transcatheter aortic valve replacement or implantation (TAVR/TAVI) is performed on patients with symptomatic aortic stenosis that are high risk or not eligible for traditional open chest surgery. A median sternotomy or mediastinotomy is performed for direct access to the aorta. The aorta is incised and a guidewire is inserted and manipulated into the left ventricle. A catheter is inserted following the guidewire to the aortic valve. A balloon is inflated to compress the native valve. A porcine valve attached to an expandable stent is deployed over the compressed native valve. The catheter and guidewire are removed.

57220

The physician accesses the urethral sphincter from the vagina. With a catheter in the urethra, the physician dissects the midline vaginal wall separating it from the bladder and the proximal urethra. Sutures are placed at the junction of the bladder and urethra on each side of the urethra. This supports the area. Excess vaginal tissue is excised and the vaginal wall is closed