Results 1 to 3 of 3

please help with this finger surgery and I&D

  1. #1
    Pensacola , Florida
    Default please help with this finger surgery and I&D
    Medical Coding Books
    I think : 11760 816.02 ??

    What am I missing ?? Please help - thank you all so much !

    The left upper extremity once prepped, the tourniquet was placed around the proximal phalanx of the index finger with a Penrose drain. At this point, the amputated part was debrided of its devitalized tissue and the nail plate had what appeared to be reasonable sterile matrix still attached to the plate. At this point, we cauterized the bone to ensure that there was no bleeding and then affixed the nail plate with the sterile matrix using this as a composite graft sewn to the native sterile matrix with 6-0 plain gut sutures. This appeared to approximate the nail plate near anatomically and with the bone now covered, soft tissue was mobilized over the eponychial fold to close the defect.

  2. #2
    Virginia Beach
    Smile Take a look at 11762
    The plain English description states, "The physician repairs a damaged nail bed with a graft. After cleaning the nail bed, the physician preps the area for a graft. The graft is obtained and sutured to the site...." 2009 Plain English Descriptions for Procedures - contexo media
    I think that code describes the procedure - my opinion, of course - hope that helped! Have a good day

  3. #3
    I'm leaning towards a traumatic amputation....but there really isnt enough info in that note...can you query the doc on this? If it is, he will need to add a tad bit more to the op note in order to consider the use of 26951

Similar Threads

  1. Surgery w/e&m
    By mconnolly in forum General Surgery
    Replies: 1
    Last Post: 05-20-2015, 09:03 AM
  2. CGIC & CEMC wanting part-time remote work for pediatric GI, surgery, & E/M
    By hbeard in forum Employment General Discussion
    Replies: 0
    Last Post: 10-30-2013, 10:27 AM
  3. CPT & Dx code tenosynovectomy & granuloma -finger
    By coders_rock! in forum Orthopaedics
    Replies: 0
    Last Post: 10-30-2013, 08:15 AM
  4. contracture of small finger extensor after ORIF of small finger
    By skorkfranks in forum Diagnosis Coding
    Replies: 2
    Last Post: 10-09-2012, 02:18 PM
  5. Surgery of Finger
    By meganbruce in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 09-24-2010, 11:48 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?


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.