Subject: RE: TRAINING/EXAM/MO/Mr.DANNY/24A3206/AMANA/AUBMC/NAIL REMOVAL AND DEAD BONE EXCISION.
From: Nicolas Abdallah <[email-masked]>
To: Ali Kaiss <[email-masked]>, Jose Kmeid <[email-masked]>, Lara Ghaddar <[email-masked]>
Cc: Toufic Jomaa <[email-masked]>, Charbel Khadra <[email-masked]>, FLS <[email-masked]>, MedApproval <[email-masked]>
Date: Tue, 29 Oct 2024 12:14:32 +0000

Hello,

  *   The procedure is indicated, CPT codes are correct
  *   This could be a complication of a nosocomial infection; we need the SMO's input for a definitive answer.
  *
Thank you,

Dr. Nicolas Abdallah
Medical Controller
[Test sad asdasd]
(+961) 1 492 249

www.mednetliban.com<http://www.mednetliban.com/>

From: Ali Kaiss <[email-masked]>
Sent: Tuesday, October 29, 2024 2:09 PM
To: Nicolas Abdallah <[email-masked]>; Jose Kmeid <[email-masked]>; Lara Ghaddar <[email-masked]>
Cc: Toufic Jomaa <[email-masked]>; Charbel Khadra <[email-masked]>; FLS <[email-masked]>; MedApproval <[email-masked]>
Subject: FW: TRAINING/EXAM/MO/Mr.DANNY/24A3206/AMANA/AUBMC/NAIL REMOVAL AND DEAD BONE EXCISION.

Dear Drs.
Kindly reminder for the below case.

Ali Kaiss
[Test sad asdasd]
(+961) 1   492 249
www.mednetliban.com<http://www.mednetliban.com/>
[email-masked]<mailto:[email-masked]>

From: Ali Kaiss
Sent: Tuesday, October 29, 2024 8:51 AM
To: Nicolas Abdallah <[email-masked]<mailto:[email-masked]>>; Jose Kmeid <[email-masked]<mailto:[email-masked]>>; Lara Ghaddar <[email-masked]<mailto:[email-masked]>>
Cc: Toufic Jomaa <[email-masked]<mailto:[email-masked]>>; Charbel Khadra <[email-masked]<mailto:[email-masked]>>; FLS <[email-masked]<mailto:[email-masked]>>; MedApproval <[email-masked]<mailto:[email-masked]>>
Subject: TRAINING/EXAM/MO/Mr.DANNY/24A3206/AMANA/AUBMC/NAIL REMOVAL AND DEAD BONE EXCISION.

Dear Drs.
Kindly requested to advise for the below case.
A 68 yrs old male, under care AMANA, joining date 1-1-2018, class B-NSSF, subject to underwriting, continuity yes, clear medical questionnaire,
Presenting for type III open displaced segmental fracture of shaft of left tibia with delayed healing, subsequent encounter,
Has osteomyelitis of left tibia with intramedullary nail and fixation , needs surgery for removal of nail and excision of dead bone.

  *   History Covered admission for gunshot (April 2023) attached.
  *   X-rays and old CT scan attached.
  *   Wound culture (10-10-2024) attached.

  1.  Is the procedure indicated for the case ?
  2.  Do the CPT codes meet with the procedure ?
  3.  Is the case considered a complication of nosocomial infection ?

Case summary for medical opinion

Patient's Name
Mr. DANNY

Reference number
24A3206

DOB
01-01-1956

Insurer
AMANA

Individual/Group/Group name
 IND

Product/Class
B-NSSF

Underwriting
YES

Inception Date
01-01-2018

Continuity to date
YES

Imported From
N/A

Provider Name
AUBMC

Special Limitation/Exclusions
 N/A

Procedure
removal of nail and excision of dead bone.

Approximated Estimation Cost
2000

CPT Codes
27640-27704

Physician's Name +Mobile
Dr. KHALIL

Prosthesis Cost(When applicable)
N/A

Prosthesis Coverage as per TOB
 N/A

Admission Date
 29-10-2024

Circumstances Of Trauma

Medical Decision
ICD 10

Approved Procedure:

Specific Remarks:

Regards.
Ali Kaiss
[Test sad asdasd]
(+961) 1   492 249
www.mednetliban.com<http://www.mednetliban.com/>
[email-masked]<mailto:[email-masked]>