Surgery Patient How would you code this? It looks like to me there are adv. flap codes and repair/ clouser codes.
Was draped in the usual sterile fashion. Once this was done, attention was directed to the ear cartilage, which at its convexities and concavities was resutured with interrupted 4-0 Mersilene. To release the tension on the wound edges, anteriorly based advancements flaps were created on the remnant portion of the ear, both anteriorly and posteriorly. Once this was done, a plastic clousure could then be performed of the skin of the anterior ear utilizing 4-0 black Ethilon on a P3 needle in spring loop knot fashion, as well as 5-0 lback Ethilon on a P3 needle. Once this was done anteriorly, a posterior closure was the performed. This gave an excellent reconstitution of the patients's ear contour and capillary refill was present o the full arch of the reconstructed helix of the ear. Once this having been determined the suture lines were cleaned, coated with bacitracin ointment, and a strip of Xeroform gauze. Cotton was soaked in bacitracin ointment and was then contoured to the antihelical sulcus int the concha of the ear and placed in these 2 areas.
This was an accident. He fainted in his bathroom fell and nearly ripped his ear off.
Would appreciate your help, km
Was draped in the usual sterile fashion. Once this was done, attention was directed to the ear cartilage, which at its convexities and concavities was resutured with interrupted 4-0 Mersilene. To release the tension on the wound edges, anteriorly based advancements flaps were created on the remnant portion of the ear, both anteriorly and posteriorly. Once this was done, a plastic clousure could then be performed of the skin of the anterior ear utilizing 4-0 black Ethilon on a P3 needle in spring loop knot fashion, as well as 5-0 lback Ethilon on a P3 needle. Once this was done anteriorly, a posterior closure was the performed. This gave an excellent reconstitution of the patients's ear contour and capillary refill was present o the full arch of the reconstructed helix of the ear. Once this having been determined the suture lines were cleaned, coated with bacitracin ointment, and a strip of Xeroform gauze. Cotton was soaked in bacitracin ointment and was then contoured to the antihelical sulcus int the concha of the ear and placed in these 2 areas.
This was an accident. He fainted in his bathroom fell and nearly ripped his ear off.
Would appreciate your help, km