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code help - I need a second opinion on

  1. #1
    Exclamation code help - I need a second opinion on
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    Hello, I need a second opinion on an avulsion. The note states:

    Procedure: Digital block performed with 5cc 2% lidocaine. Soaked in betadine H2O. Edger of nailbed pushed uner skin. Abx oint increased dsg. pt tolerated well.

    great toe - avulsed nailbed w/ laceration under cuticle; oozing a little increased ecchymosis, increased blood evident under nail, nail intact.

  2. Default
    Hi I would like to respond to your post about the great toe avulsion. I would use the ICD-9 code 893.1 because your note mentions a laceration too. I hope this helps.


    Tami Velazquez CPC - A

  3. Default
    I would use 893.1 as an open wound is considered to be complicated when any of the following conditions is present:

    Delayed healing
    Delayed treatment
    Foreign body in wound
    Major infection

    For the procedure I would use 11730 if only one nail plate is removed. 11732 for each additional nail plate removed.
    Last edited by JulesofColorado; 06-21-2010 at 04:57 PM.

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