Wiki laceration forearm and palmaris tendon

scooter1

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Winter Springs, FL
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Doctor wants 25290 and 26170
Dx: Laceration right forearm with laceration of the palmaris
Procedure: Irrigation and debridement and excision of palmaris tendon

Palmaris longus was approached through a transverse incision over the redness and swelling. Flexor tendon sheath of palmaris was opened. Significant amount of fluid was encountered and was cultured. Tendon ends were seen to be balled up with early auto-digestion..Again, significant amount of fluid which could be infection. Area was left opened, cultures were taken, pieces of the tendon were used for cultures as well.
Area was irrigated and left open. Proximally at the mid-forearm, another incision was made over the proximal stump of the tendon and the same procedure performed. Both wounds were left open and the patient had a bulky dressing.
Doctor also wants to have 11042.
I am not sure about his choices. Would appreciate opinions and help. Please.
 
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