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protrusion of dural membrane) Incidental Durotomy/Dural Tear Definition: Small tear in the dura mater Often unavoidable occurrence of spinal surgery Ideally identified and repaired inter-operatively.nswer: Assign code 998.2, Accidental puncture or laceration during a procedure, for a dural tear that occurs during surgery. Dural tears are usually inadvertent, but fairly common in re-do spinal surgery where the dura has thinned out.
Vitrectomy (Trans Pars Plana Vitrectomy). Vitrectomy is the surgical removal of vitreous gel from the middle and back of the inner eye. The vitreous gel fills the back 80% of the inner eye, otherwise known as the vitreous cavity, which is directly in front of the retina.