Assignment task:
Indication for Procedure:
The patient is a 59-year-old female with stage IV rectal cancer who presents for placement of a MediPort for palliative chemotherapy. All risks, benefits and alternatives to procedure were discussed in detail with the patient prior to proceeding and informed consent was obtained.
Description of Procedure:
The patient was brought to the operating theater, placed in a supine position on the operating table and administered the IV sedation by the department of anesthesia. She was prepped and draped in sterile surgical fashion over bilateral chest and axilla. The right deltopectoral groove was identified and marked and a horizontal incision was planned distal to the clavicle on the chest wall including the deltopectoral groove. The skin incision was created and taken down to the level of the muscular fascia. The deltopectoral groove was identified. The cephalic vein was identified and isolated. Proximal and distal suture was placed and a small venotomy was made. The catheter tip was inserted and directed into the subclavian vein. Catheters noted be in good position via the catheter finder. The catheter was secured into place and the distal vein ligated. The catheter was then attached to the port after a pocket was made medial, inferior and lateral incision. The catheter was sewn to the fascia at 4 points. It was tested with heparinized saline and had excellent flow and was heparin locked. Scarpa's fascia was closed over the port and the skin was closed with Monocryl suture. The port was left in place for immediate chemotherapy. Skin glue was applied over the incision. Sterile dressing was applied. The patient was transferred to the post-anesthesia care unit in stable condition having tolerated the procedure well. what are the correct ICD 10 codes Please only code diagnosis codes. Need Assignment Help?