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Yes it is necessary to code all surgical procedures, as it helps to document the procedure and also used for calculating the cost of the procedure for billing purposes

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Q: Is it necessary to code closure of a routine surgical incision?
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What is episiotomy and its indication?

A cut from the vaginal opening toward the anus, performed during childbirth.An episiotomy is a surgical procedure performed on women who are in the second stage of labor. A surgical incision is made on the perineum and posterior vaginal wall. The cut can be made at an angle or in the midline from the posterior end of the vulva. The purpose of the procedure is to enlarge the vagina during child birth and speed up the birth process, it is also done in order to avoid tearing of the vaginal wall during delivery.


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Is an episiotomy always necessary in pregnancy?

Episiotomy also known as perineotomy is an incision made in the perineum - the tissue between the vaginal opening and the anus - during childbirth. Although an episiotomy was once a routine part of childbirth, that's no longer the case. Routine episiotomies are no longer recommended. Still, the procedure is warranted in some cases. Your health care provider might recommend an episiotomy if:Extensive vaginal tearing appears likelyYour baby is in an abnormal positionYour baby is large (fetal macrosomia)Your baby needs to be delivered quicklyIf you need an episiotomy and you haven't had any type of anesthesia or the anesthesia has worn off, you'll likely receive an injection of a local anesthetic to numb the tissue. You shouldn't feel your health care provider making the incision or repairing it after delivery.For years, an episiotomy was thought to help prevent more extensive vaginal tears during childbirth - and heal better than a natural tear. The procedure was also thought to help preserve the muscular and connective tissue support of the pelvic floor. Today, however, research suggests that routine episiotomies may not prevent these problems after all. Recovery is generally uncomfortable, and sometimes the surgical incision is more extensive than a natural tear would have been. Infection is possible. For some women, an episiotomy causes pain during sex in the months after delivery. An extensive episiotomy might also contribute to fecal incontinence after childbirth.


What non routine maintenance may be needed and how to identify when it is necessary?

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