Appendectomy
1.Anatomy
2.Medical necessity of Procedure
3.Procedure detail
4.Code selection criteria
5.Important Terminology
1.Anatomy
Appendix is the part of large instestine and it is attached to the cecum at posteromedial wall and 2cm below ileocecal junction. It is vestigial organ as its function is not known.Cecum is the pouch like structure and it is located at beginning of large intestine.
2.Medical necessity of Procedure
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Appendicitis means inflamed appendix
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Ruptured Appendix: if appendicitis does not treat for long time, it causes burst, tear of rupture and can leak content to the abdomen.
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3.Procedure detail
Appendectomy: It is the surgical procedure to removal appendix.. There are two ways of removing Appendix.
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Open approach
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Laparoscopic approach (Minimal invasive Procedure)
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4.Code selection criteria
Go to Appendectomy and you will get all code, So code selection based on
1. Approach : Either Open or Laparoscopy
5.Important Terminology
When you will read the report for cholecystectomy , You will get some terminology.
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McBurney’s incision: It is the incision made in the lower right abdomen and this incision is used to get access of appendix for appendectomy.
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Mesentery: The mesentery is a fold of membrane that attaches the intestine to the wall around the stomach area and holds it in place.
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What is incidental appendectomy? Imp
Incidental appendectomy is the removal of the appendix at the time of a major primary
procedure on the abdomen or pelvis, so this includes removal of a noninflamed or healthy
appendix as a precautionary measure.
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Watch video of this procedure : https://www.youtube.com/watch?v=ffoKThdqo4I