One of the fascinating things about Land Hermit Crabs is that they live in other creatures discarded shells. As they grow they will leave their old shell and find another larger one to move into. To assist the crabs with this, a few spare shells should be kept in the aquarium for such occasions.
The case involved multiple medical conditions and procedures is properly coded as Diagnosis Codes 366.16 (cataract) and 365.10 (glaucoma) and CPT Codes 66982-RT (right eye complex cataract surgery) and 66180-RT (right eye revision of an aqueous shunt/Aquaflo prosthesis).
Scenario: On 10/19 physician did an irrigation and debridement of prepatellar bursitis with prepatellarbursectomy and application of wound vac. The bursectomy wound was then dressed with a wound vac dressing. On 10/22 patient returned to the operating treatment room and IV sedation was performed. The old wound vac dressing was removed. The wound appeared clean. The wound was sponged dry and a new wound vac dressing was applied. Are we able to bill for wound vac application CPT 97605 on 10/19 or is it included in the CPT code 27340. And also what if anything can be billed for the 10/22 wound vac dressing change under IV sedation?