Incision & Debridement elbow laceration w/cellulitis

AR2728

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Perryville, MO
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Debridement always leaves me guessing on the correct code. I would so appreciate someones assistance with the following procedure.

preop diag: elbow laceration with cellulitis
postop diag: elbow abscess

Elbow I&D and wound exploration

Prior suture was removed and wound opened, abundant purulence superficially was noted. Wound debrided and irrigated under pulsatile lavage w/ 300 cc crystalloid. Wound then explored, there did not appear to be purulence in the joint or penetration to the joint. Laceration distally extended and again would debrided, and irrigated under pulsatile lavage to a total of 900 more cystalloid. JP drain placed and sutur was used to loosely close wound....

Thanks
 

syllingk

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Boise, Idaho
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I'm with you there. They are always changing these codes and guidelines. I am thinking 97597 or maybe 97602. What does anyone else think.
 
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