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CODING AND REIMBURSEMENT FOR ENDOSCOPIC NEONATAL SURGERY OF THE SKULL BASE Requested by: North American Skull Base Society Written by: Kim Pollock, RN, MBA, CPC, MDP KarenZupko & Associates, Inc.

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How to fill out for endoscopic endonasal surgery

01

Step 1: Prepare the patient for surgery by obtaining informed consent and conducting pre-operative assessments.

02

Step 2: Position the patient on the operating table in a supine position with the head slightly extended and immobilized.

03

Step 3: Administer anesthesia to ensure the patient is unconscious and pain-free throughout the procedure.

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Step 4: Prep the surgical site by sterilizing the nasal cavity and surrounding area.

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Step 5: Insert the endoscope through the nostril and advance it towards the target site.

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Step 6: Use image guidance technology to navigate and visualize the surgical field.

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Step 7: Perform the necessary surgical maneuvers using specialized instruments through other nostrils or small incisions.

08

Step 8: Remove any pathological tissue or lesions present.

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Step 9: Control bleeding as necessary.

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Step 10: Close the incisions and apply dressings.

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Step 11: Monitor the patient's condition during the recovery period.

Who needs for endoscopic endonasal surgery?

01

Endoscopic endonasal surgery is typically performed on patients with certain pathologies involving the skull base, sinuses, or pituitary gland.

02

Patients with conditions like tumors, cysts, sinusitis, cerebrospinal fluid leaks, or pituitary disorders may benefit from this surgical approach.

03

The suitability of endoscopic endonasal surgery for an individual patient is determined by their specific medical condition and the surgeon's assessment.

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