Results 1 to 3 of 3

13131 64831 and ??

  1. #1
    Default 13131 64831 and ??
    Medical Coding Books
    Hi list,
    I have 13131 & 64831 but I am at a loss of what else to code.
    Any suggestions are greatly appreciated!
    Melissa Bedford,CCS,CPC



    DIAGNOSIS:
    1. Left palm complex laceration with long finger digital nerve laceration




    POSTOP DIAGNOSIS:
    1. Left long finger radial digital nerve laceration
    2. Left long finger open proximal phalanx fracture
    3. Left long finger interosseous tendon laceration
    4. Left long finger radial collateral ligament laceration


    PROCEDURE:
    1. Wound exploration/I&D/closure 2 cm Left long finger complex laceration
    2. Repair Left long finger radial digital nerve
    3. Left long finger interosseous tendon repair
    4. Left long finger Radial collateral ligament repair
    5. I&D left long finger open proximal phalanx fracture


    ASSISTANT:



    ANESTHESIA:
    LMA.


    TOURNIQUET TIME:
    42 minutes.


    BLOOD LOSS:
    Minimal.


    FLUIDS:
    Per anesthesia record


    OPERATIVE FINDINGS: Complex volar 2 cm laceration in palm at DPFC deep into 2nd web space with complete RDN lac, open grade 2 radial P1 base fx and complete transection of IO tendon and proximal reflection of RCL insertion.




    OPERATIVE SUMMARY IN DETAIL:
    Following appropriate informed consent, patient identification, and operative limb, the patient was brought to the operating suite where smooth induction of LMA anesthesia was accomplished by Anesthesiology Service and the patient received broad-spectrum IV antibiotic prophylaxis. The Left upper extremity was prepped and draped in the usual sterile fashion. Time-out procedure performed. The limb was exsanguinated with an Esmarch bandage prior to tourniquet inflation to 275 mmHg. A Bruner incision over the Left distal palm and volar 2nd web space was carried out incorporating the traumatic laceration. Blunt dissection was carried down through the subcutaneous tissues. The radial digital nerve was identified and meticulously dissected and mobilized with findings as above. Radial artery and flexor tendons/sheath/pulleys were intact. The nerve ends were excised back to healthy margins and reflected. The laceration extended deep into the 2nd web space nearly to the hand dorsum. The P1 base was exposed and the IO/lumbical tendons lacerated completely. The RCL was subtotally lacerated off the P1 base and reflected proximally.The radial collateral ligament and interosseous tendon were debrided and repaired after the proximal phalangeal base was curetted. The digital nerve was then repaired with 8-0 suture using microsurgical technique under 4.5x Loupe magnification. Excellent primary repair was noted. Tourniquet was let down and the digits were viable and warm x 5. There was no undue bleeding. Hemostasis performed using electrocautery. Nerve repair was stable even with composite extension. The wounds were reapproximated with nonabsorbable sutures and infiltrated with 0.5% Marcaine for perioperative pain relief. Sterile nonadherent dressing and extension block splint was applied with the long finger adducted to the index loosely. The patient was extubated and transported to the recovery area in stable condition. There were no intraoperative complications.

  2. #2
    Default
    This is only a SUGGESTION but, I would look at the following codes for research:
    64831
    26540
    26735
    26410
    11012
    13131

    Please read the codes suggested and go from there. I think you will be on the right track

    Hope this helps!!!
    Amy Pritchett,
    BSHA, CPC, CPMA, CPC-I, CDEO, CANPC, CEDC, CASCC, CRC, CMDP, CMPM, CCS, CMRS, C-AHI, ICDCT-CM, ICDCT-PCS
    2017-2018 Secretary of Local Mobile AAPC Chapter
    2015-2016 President of Local Mobile AAPC Chapter

  3. #3
    Default
    Thank you so very much for your reply! Yes, I think I am on the right path now.

Similar Threads

  1. 13131 64831 and??
    By MELJNBBRB in forum General Surgery
    Replies: 0
    Last Post: 11-03-2014, 08:58 AM
  2. Global to 64831
    By mmce in forum Orthopaedics
    Replies: 0
    Last Post: 07-09-2014, 07:04 AM
  3. 64890 not with 64831
    By ASC CODER in forum Orthopaedics
    Replies: 0
    Last Post: 07-01-2010, 05:52 AM
  4. 64890 and 64831
    By ASC CODER in forum Medical Coding General Discussion
    Replies: 5
    Last Post: 06-30-2010, 05:07 AM
  5. 64890 Can I use 64831 Also???
    By ASC CODER in forum General Surgery
    Replies: 0
    Last Post: 06-28-2010, 07:58 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.