I infiltrated the area of the abdomen with 10mL of local anesthetic, bupivicaine 0.5%, then we used an 11 blade and made a transverse incision over the old incision and then I used a sharp and blunt dissection. I was able to expose the pump, then I aspirated from the catheter access port to the pump and that produced free flow of clear CSF. Then I made a sharp and blunt dissection to re-position the pump more anterior so it does not rub over the left ASIS which is one of the patient’s main complaints. Then I connected the catheter to the new pump. I secured the pump to the abdominal fascia using 2-1 Tycron, 3 stitches were taken into the abdominal fascia. Then I irrigated all the incisions. I closed the subcutaneous tissue with 2-0 Vicryl followed by 3-0 Vicryl followed by 3-0 Novafil.
He wants to code 62360, but I’m going more towards 62362 with the re-position being inclusive as he didn’t make a different incision to re-position the pump, just deeper in the same pocket. Am I correct in this rational???
Thank you