Then Opened Dura Explained for Students (Easy Guide)

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This question relates to then opened dura and requires a structured academic response.

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Original Question

I then opened the dura on the right side using electrocutery with much the same result. Fluid with a motor oil consistency was evacuated from the subdural space with irrigation until the fluid returned clear. A subdural drain was also placed on this side, tunneled anteriorly to incision and secured with a drain stitch. Each incision was closed with 2-0 Vicryl sutures and staples. I connected the drains to an external collection system. The patient was taken to recovery in good condition. a. What documentation identifies the type of hole made into the skull? b. Is the coding impacted by the number of burr holes that were created? c. Are the subdural drains coded separate-ly? d. What is the code assignment for this case?

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