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Wiki fasciotomy

docndent

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Traverse City, MI
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I have 2 questions:
1. Debridement and fasciotomy of forearm and upper arm with exploration of median nerve, brachial artery and vein and ulnar nerve.

code 24495 fits but do I code the debridement separate or is it included in the code?

2. The above is for necrotizing fasciitis and 3 days later the following was done:

*debridement and irrigation of forearm and upper arm, right ---CPT 10180
*right axillary dissection
*exploration or right lateral chest wall, including lateral latissimus and deltoid as well as pect major and minor. ---CPT 11043
11046 x 26

Question: Is there a CPT for the axillary dissection?
And any other help or ideas would be appreciated
 
Clinicians divide axillary lymph nodes into three levels. Level II and III lymph nodes are always deep (38525). Level I nodes may be either deep or easily palpable (38500), depending on the individual patient. Deep dissection always includes superficial dissection through the same incision.
 
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