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desperately need expert help on open wounds

  1. #1
    Pensacola , Florida
    Default desperately need expert help on open wounds
    Medical Coding Books

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

  3. #3
    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
    #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 07:34 PM.

  5. #5
    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

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