Wiki Help with Toe amputation an Flap closure

[Robbin109]

Procedure:
Left Hallux partial amputation
Myocutaneous flap closure of left hallux amputation site

Elliptical incision around the distal end of the hallux where the initial dorsal injection went across the top of the 5th toe transversely just proximal to the nail plate. Then the incision plantarly was performed distally and plantarly just proximal to the ulcer site. After the initial incision dorsally was performed a disarticulation of the interphalangeal joint was performed by releasing all tendon, ligament and capsule tissue structure. The toe was disarticulated distally and sent to pathology. Part of the bone was also cultured. The would was closed by elevating and rotating the plantar part of the skin on the toe up over the stump site.

28825
14040 or 15738?

 

[Orthocoderpgu]

Code 28825 is good. Your surgeon may be calling this a myocutaneous flap closure, but I don't see that documented. Only documented a rotational skin flap. I would exclude 15738.

 

[Robbin109]

Thanks. So no 14040 either?

 

[Orthocoderpgu]

Thanks. So no 14040 either?

Code 14040 is good for the rotational flap.

 

[Robbin109]

Thanks!!