SuzannaGG
Contributor
Help! How would you code the following. To me it seems would be debridement + Graft - or Complex Repair Only? Also thought of 67971 but I don't the inj is correct for that CPT.
Exam: A 3-cm transverse left lower eyelid laceration with herniation of periorbital fat, with devitalized tissue around the wound edges and foreign material from rock foreign body noted.
ASSESSMENT AND PLAN: The patient will undergo irrigation, debridement, repair and closure in the emergency room.
TECHNIQUE: Local infiltration given to left lower eyelid laceration, 1%
lidocaine and bicarb. Betadine prep, sterile drape. Debridement of devitalized
tissue wound edges. Removal of foreign body material and irrigation of wound. Exploration of wound showed herniation of periorbital fat. This was plicated with 5-0 Monocryl suture and subdermal closure with adjacent tissue transfer flap covers closure defect after debridement of laceration, 3 cm, to left lower eyelid complicated. After flap coverage closure was completed, 5-0Monocryl suture, subdermal closure, and interrupted 6-0 fast-absorbing gut suture closure of the skin was completed.
Exam: A 3-cm transverse left lower eyelid laceration with herniation of periorbital fat, with devitalized tissue around the wound edges and foreign material from rock foreign body noted.
ASSESSMENT AND PLAN: The patient will undergo irrigation, debridement, repair and closure in the emergency room.
TECHNIQUE: Local infiltration given to left lower eyelid laceration, 1%
lidocaine and bicarb. Betadine prep, sterile drape. Debridement of devitalized
tissue wound edges. Removal of foreign body material and irrigation of wound. Exploration of wound showed herniation of periorbital fat. This was plicated with 5-0 Monocryl suture and subdermal closure with adjacent tissue transfer flap covers closure defect after debridement of laceration, 3 cm, to left lower eyelid complicated. After flap coverage closure was completed, 5-0Monocryl suture, subdermal closure, and interrupted 6-0 fast-absorbing gut suture closure of the skin was completed.