Go Back   AAPC Medical Coding & Billing Forums > Medical Coding > Orthopaedics
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 09-27-2011, 11:47 PM
Jeffs1977 Jeffs1977 is offline
Contributor
 
Join Date: Apr 2007
Posts: 19
Jeffs1977 is on a distinguished road
Default Crossover left third toe and dropped third toe, right

I am relatively new to Foot surgery coding and my new MD presented me with the following description of services to code. Can you aide me some?

Procedures:

1. Crossover left third toe and dropped third toe, right.
2. Extensor digitorum longus release.
3. Medial collateral ligament release.
4. Dorsal capsulotomy MTP joint, left second with pinning.
5. Right syndactylism toes two and three.

Information from the Operative Report below:

Description of the Operation:

After successful induction, bilateral lower extremities were prepped and draped. The left was addressed first. Gravity exsanguination. Placed the tourniquet.

A transverse incision over the second PIP joint dissecting down reflecting soft tissues, removing distal proximal phalanx condyle, cut the subchondral bone off the middle phalanx. Now made a dorsal incision in the second web space. We dissected down, identified the long extensor, released that, then released the dorsal capsule on the medial collateral and this allowed the toe to sit down nicely, advanced the pin out the tip of the toe and retrograded into the proximal phalanx on the metatarsal head, holding the toe in a well positioned position, compressed the fusion site and repaired the extensor hood and then placed a Jurgan ball on the tip of the pin and Adaptic and Betadine.

Dressing applied after closure with Nylon and Marcaine infiltration, bulky dressing, Jurgan ball on the tip of the pin. We now had gravity exsanguinated the right foot as we let down the tourniquet on the left. We took a marker pen and drew out a diamond on the lateral aspect of the second toe and then brought it down and pushed it against the third where we had excised the skin, creating a diamond, essentially it was a triangle first, then we created a diamond and then we closed the skin approximating the second and third toes with Monopril, Adaptic, Betadine and compressive dressing applied.

The patient was discharged to the recovery room after deflating the tourniquet.
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off




Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 12:24 PM.

AAPC - Top

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright ©2014, AAPC