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Wiki repair cutaneous fistula

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deborahcook4040

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Ocala, FL
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Ok, This pt had a bronchopleural-cutaneous fistula. The bronchopleural portion was repaired by a couple of thoracic surgeons, and after they were done, my general surgeon came in to repair the cutaneous portion. He excised three fistula tracts on the chest wall, and did a massive debridement of infected tissue, going down to and into the muscle, but NOT as far as the bone. The wound was packed and left open.


I could code it as repair of a lesion, by length, with debridement, but that just doesn't seem to cover the amount of work he did.

Any help would be appreciated.:confused:
 
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