Extremophiles-Organisms Thriving in Harshest of the Environments. Article Summary: 'Extremophile' is a term that refers to bacteria that are able to grow and sustain in extremely harsh environments when compared to the environments that are termed as favourable for the growth of bacteria.
Question: One of the surgeons in my practice coded an Akin procedure as 28310, but CPT lists it as 28298. Which code is correct? Answer: According to the Wheeless' Textbook of Orthopaedics, an Akin procedure is a closing wedge osteotomy of the first toe (hallux) proximal phalanx with excision of the medial eminence. It is performed to correct the condition hallux valgus (735.0), where the deformity is located at the interphalangeal joint. Code 28298 (Lapidus type procedure; by phalanx osteotomy) describes this procedure.
The modified McCall Culdoplasty procedure is a relatively simple procedure that is performed after removal of the uterus and cervix from the apex of the vagina wherein the angles of the vagina are attached to their respective uterosacral ligament and the cul-de-sac is surgically obliterated for support postoperatively.urpose. The purpose of this study is to assess the feasibility of performing prophylactic McCall culdoplasty at the time of total laparoscopic hysterectomy. The investigators will also be measuring pelvic support (using POP-Q) and sexual function before and at different time points (up to 12 months) postoperatively.