Wiki Skin debridement Coding

KaylaRieken

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I am a little confused on how to code this. Any help would be greatly appreciated.

Two days prior the patient had a surgery and it was coded as 11004.

This is dictated in a progress note in the GU exam section:

The patient's dressings were taken down. This again reveals exposed testicles and spermatic cords. Scrotal skin has been removed, as well as skin along the perineum and skin overlying the left groin. There was some superficial necrotic tissue along the right aspect of the wound along the skin line and some superficial fibrinous necrotic tissue along the left aspect of the penile shaft, as well as overlying the testicles. These were sharply debrided with scissors down to bleeding tissue. On further examination of the wound tracking towards the perineum and posterior to the left testicle and spermatic cord, there was a small pocket of purluence and necrosis. This was dissected and exposed and irrigated thoroughly. There was small amount of necrotic tissue that was also debrided. The remainder of the wound was cleaned, viable without obious purulence or necrosis. At this point, the wound was again packed with saline-soaked Kerlix and the testicles were covered as well as Kerlix.
 
It looks like 11004 describes debridement of external genitalia and perineum. Are you saying the patient was returned to the OR for a repeat debridement/dressing change? Outpatient or Inpatient, it makes a difference.
 
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