tci General Surgery Coding Alert - 2002 Issue 9

You Be the Coder: Graham Patch

Reviewed on May 20, 2015 Question: What is the correct code for a Graham patch omentoplasty used to repair a perforated duodenal ulcer? According to the operative report, the omentoplasty was performed after placing Lembert sutures of 3-0 silk. The stitch was left open, and a tongue of omentum was then placed over the ulcer and tied down with stitches. General Surgery Discussion List Participant   Answer: The Graham patch uses sutures placed on either side of the perforation lemberted with the addition of the omentum. The surgeon uses sutures to secure the patch and close the perforation. CPT®...

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