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debridement help

  1. #1
    Default debridement help
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    hello,
    Ortho resident performed debridement on a patient. I am thinking to use "11042ódebridement subcutaneous tissue 20 sq cm/< "code; however, a physician document only that the eschar was debrided sharply at the bedside.
    Any feedback will be greatly appreciated.
    thanks,


    "right lower extremity is somewhat edematous compared with left. There are 2 wounds now on the lateral aspect of the right thigh. The superior one measures approximately 4 cm in diameter there is a necrotic rim to this lesion. There is no active drainage. The lower wound approximately 2 cm below the larger wound, measures approximately 3 cm in diameter. There is mild necrotic eschar at the periphery this wound is well. Upon probing of both wounds I entered a pocket from the superior wound that tracks superiorly and somewhat posteriorly to a depth of approximately 6 cm, this drained fluid consistent with seroma/fat necrosis. No frank pus. The surrounding eschar was debrided sharply at the bedside. The lower wound was also probed and a pocket was encountered which tracks inferiorly and posteriorly, draining similar fluid. The wounds were irrigated, and packed with a 1 inch Nu Gauze wick covered with a wet-to-dry dressing in the wound cavities and a Kerlix wrap."

  2. #2
    Location
    lawrence, kansas
    Posts
    54
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    What about 97597? This CPT is to be used for sharp selective debridement of a wound.
    Ryan Raich, CPC COSC
    Lawrence, Kansas Chapter President

  3. #3
    Default
    Thank you so very much!!

  4. #4
    Location
    lawrence, kansas
    Posts
    54
    Default
    You're welcome! Have a great day.
    Ryan Raich, CPC COSC
    Lawrence, Kansas Chapter President

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