AAPC - Back to school
Results 1 to 5 of 5

Thread: desperately need expert help on open wounds

  1. #1
    Join Date
    Apr 2007
    Pensacola , Florida

    Default desperately need expert help on open wounds

    AAPC: Back to School

    I am just getting comfortable in one area and this one is sooo new one to me ..please give me some of your expertise on this case - and I sincerely thank you in advance !

    pt sustained knife lacerations to lt hand and rt lateral elbow.
    Procedures :
    #1 I & D of skin and subcutaneous tissue , deep muscle fascia of hand

    #2 Exploration of radial digital nerve left index finger and ulnar digital nerve lt thumb, closure of wound measuring 6cm.

    #3 I & D of skin and subcutaneous and deep fascia, right lateral and posterior elbow area with repair of partial laceration of triceps and common extensor origin w/closure over drain.

    #1 Open wound, hand w/intact radial digital nerve, index and ulnar digital nerve thumb w/partial laceration of adductor pollicis

    #2 Open wound, rt elbow w/partial triceps laceration and laceration of common extensor origin.

    ...any and all help would be appreciated ! Thanks

  2. #2


    According to info given, it seems to be intermediate repairs.
    You would need the dimensions for the elbow.

  3. #3
    Join Date
    Apr 2007


    I agree that it would be the repair codes, would needs to see more documentation to determine simple/intermediate vs complex though. Also looks like there are some debridements that could possibly be captured as well (11040-11044)

  4. #4
    Join Date
    Apr 2007
    Lincoln, NE


    #1/#2 Same incision?? Was wound enlarged for exploration?? Could be 20103 (exploration) or 12042 (intermediate closure) if nerve was not repaired.

    #3 Look at CPT code 24341 for the triceps tendon repair. Per #4 CPT instructions for repair codes - involvement of nerves, blood vessels and tendons should be reported under the appropriate system......

    Julie, CPC
    Last edited by jdrueppel; 02-22-2009 at 06:34 PM.

  5. #5
    Join Date
    Apr 2007
    Pensacola , Florida


    Thank you for all your help - feel like i am fighting the flu today .. i cant think - thanks for your expertise in jump starting me

Similar Threads

  1. I need help desperately????
    By tylmason in forum Billing/Reimbursement
    Replies: 2
    Last Post: 12-14-2011, 11:37 AM
  2. pressure ulcer and open wounds
    By coder1 in forum Billing/Reimbursement
    Replies: 2
    Last Post: 12-22-2010, 12:36 PM
  3. laser treatment of open wounds
    By medipro in forum Dermatology
    Replies: 0
    Last Post: 12-28-2007, 02:59 PM

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?


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.