Replacement of vns generator indications for surgery

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Reference no: EM133746681

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CPT code for Postoperative diagnosis: Intractable epilepsy Operation performed: Replacement of a VNS generator Indications for surgery: The patient has a long history of intractable epilepsy with a vagal nerve stimulator implant in place. The generator is nearing the end of its lifespan. Description of procedure: The patient was brought to the operative suite and prepped and draped in the usual fashion. The old incision was infiltrated with local anesthetic. A #10 blade along with Bovie hemocautery was used to dissect through the subcutaneous fat and to open the fibrotic capsule around the old generator. The generator was brought out of the chest area and the single lead removed. The new generator (Model 104) was obtained and attached. The new generator was then placed into the subcutaneous pouch and anchored with 2-0 silk sutures. The generator was interrogated and programmed with the patient's code and date. Lead impedance was tested and found to be okay. The wound was irrigated and closed with 4-0 Monocryl sutures and sterile dressing. The patient was transported to the recovery room.

Reference no: EM133746681

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