Extremophiles-Organisms Thriving in Harshest of the Environments. Article Summary: 'Extremophile' is a term that refers to bacteria that are able to grow and sustain in extremely harsh environments when compared to the environments that are termed as favourable for the growth of bacteria.
Question: One of the surgeons in my practice coded an Akin procedure as 28310, but CPT lists it as 28298. Which code is correct? Answer: According to the Wheeless' Textbook of Orthopaedics, an Akin procedure is a closing wedge osteotomy of the first toe (hallux) proximal phalanx with excision of the medial eminence. It is performed to correct the condition hallux valgus (735.0), where the deformity is located at the interphalangeal joint. Code 28298 (Lapidus type procedure; by phalanx osteotomy) describes this procedure.
a procedure in which fluid is withdrawn from a body cavity. An incision is made in the skin, and a hollow trocar, cannula, or catheter is passed through the incision into the cavity to allow outflow of fluid into a collecting device. Paracentesis is most commonly performed to remove excessive accumulations of ascitic fluid from the abdomen. Strict asepsis is followed. The patient needs to empty the bladder before this procedure to decrease the risk of bladder trauma. The patient is assessed for any adverse reaction.