Order Details
SAMPLE, Jordan M   01-Jan-1952 (73y)   M
Appointment: 13-Mar-2023 Encounter Selected
Orthopedic Surgery Previous Next
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Details:
Overview:
Orthopedic Surgery – Right ulnar nerve decompression
To Be Done:
16-Apr-2023
Status:
Need Information: Financial Authorization
For:
[1] Elbow pain, unspecified laterality (M25.529)
Overdue:
14-Apr-2026 02:53 pm
To Be Performed:
CEDAR VALLEY SURGERY CENTER ASC
Communicated By:
Requested transmission to performing location
Priority:
Routine
Ordered By:
Wells, Dana
Supervised By:
Wells, Dana
Managed By:
Wells, Dana
Authorization:
Not Required
Performing Instructions:
Ulnar nerve decompression at the right elbow with release of Guyon's canal; anterior transposition of the ulnar nerve if warranted intraoperatively. Outpatient case, roughly two hours. Positioned supine with a hand table. General anesthesia with pre-operative antibiotic prophylaxis. Return visit planned about two weeks after surgery.
CPT Codes: 64719, 64721
Patient Instructions:
Order Instructions:
Questions:
Procedure (as listed on informed consent):
A: Right ulnar nerve decompression at the elbow and Guyon's canal decompression, possible ulnar nerve anterior transposition.
Admit Type:
A: Same Day Surgery
CPT Code
A: 64719
Procedure Site:
A: Right
Duration (minutes):
A: 120
Anesthesia:
A: General with block
H&P done by:
A: Cedar Valley Surgery Center
Equipment (C-arm and additional equipment):
A: Large C Arm
Implants (vendor,product):
A: N/A — no implant planned
Appointment Notes (Excel,interpreter, surgical assist, DME, etc.):
A: Outpatient same-day surgery; regional block plus general anesthesia. Allergies: NKDA.