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Wiki Traumatic wound repair - delayed care requiring debridement

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Jbeck@karuk.us

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A patient presented to our clinic with a 5 day old wound (4 cm long) of the left index finger he had gotten from cutting himself while dressing out a deer. The wound was infected at this point, and the delay in seeking medical care meant that the wound required sharp debridement of the devitalized tissue. The wound was then closed with simple interrupted sutures. Would I code this as a complicated repair (13132), an intermediate repair (12042), or a debridement + simple repair (11042 + 12002)? I was tending toward the intermediate repair, but the complex repair is the only one that mentions debridement. Any help from those who routinely code wound closures is much appreciated.

J. Beck, CPC
 
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