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Wound I&D

  1. #1
    Location
    Long Island/New York
    Posts
    1,271
    Default Wound I&D
    Medical Coding Books
    crazy question- one of my Dr's did an open repair tibia fracture. we billed out the farcture repair but I was asked a question.

    he documented a "traumatic wound" (at fracture site)that was irrigated & drained. One of the AR girls asked me if we could bill that out. I say no but wanted to get a second opinion - better safe than sorry.

    Thank you.

  2. #2
    Location
    Charm City - Baltimore
    Posts
    103
    Default
    If the wound was at the fx site and not separate from the site then I agree, it is included in the fx care code - I am actually working on the same type thing for a femur.
    Crystal, CPC, CCS-P

  3. Default
    I'm new to coding, but there are 3 codes dedicated to open fractures/dislocations that describe excisional debridement of tissue. 11010-11012. These codes include prolonged cleansing of the contaminated site; removal of all foreign/dead material from the wound site; and irrigation of all tissue layers and exploration of the soft tissue injured.

  4. #4
    Location
    Long Island/New York
    Posts
    1,271
    Default
    THANK YOU BOTH...IT'S NICE TO GET A 2ND OPINION...JUST IN CASE YOU'RE WRONG AND HAVE TO ANSWER TO THE DOC'S...HAHAHA

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