BFAITHFUL
Expert
Please help with the following:
Doc wants to use 11042 & complex closure code but I'm not too sure?
DX: right hand wound dehiscence with wound infection
Procedure: Debridement of right hand wound
Complex wound closure of right hand, 6cm
Paitent sustained a complex wound three weeks ago resulting in transection of multiple tendons and nervew. patient then developed a poor looking wound. a right hand wound edges began to separate with areas of fibrinous exudate and questionable purulence. plan was made to debride with reclosure of the hand.
The right hand wound edges were sharply debrided with both knife and scissors. the skin flaps were reundermined and the fibrinous and granulation tissue was debrided. of note, a small amount of milky fluid was expressed. the wound was then thoroughly pulse irrigated with 3 L of antibiotic solution containing gentaminc and ancef. The wound edges were then advanced closed using multiple interrupted horizontal mattress 3-0 chromi and 4-0 chromic sutures. dressed applied.
thanks
Doc wants to use 11042 & complex closure code but I'm not too sure?
DX: right hand wound dehiscence with wound infection
Procedure: Debridement of right hand wound
Complex wound closure of right hand, 6cm
Paitent sustained a complex wound three weeks ago resulting in transection of multiple tendons and nervew. patient then developed a poor looking wound. a right hand wound edges began to separate with areas of fibrinous exudate and questionable purulence. plan was made to debride with reclosure of the hand.
The right hand wound edges were sharply debrided with both knife and scissors. the skin flaps were reundermined and the fibrinous and granulation tissue was debrided. of note, a small amount of milky fluid was expressed. the wound was then thoroughly pulse irrigated with 3 L of antibiotic solution containing gentaminc and ancef. The wound edges were then advanced closed using multiple interrupted horizontal mattress 3-0 chromi and 4-0 chromic sutures. dressed applied.
thanks
