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Inpatient procedure code question on amputation

  1. #1
    Montgomery, AL
    Default Inpatient procedure code question on amputation
    Medical Coding Books
    I am reviewing inpatient charts that have a debridement procedure code (for the RAC).

    I came across one that was coded with Exc Debridement (86.22) as well as revision of stump (84.3). Please help me understand what is involved with an amputation revision. My understanding was that the circumference of the bone had to be cut away.

    Here is what was documented on the OR record:
    .....was take to the OR and underwent debridement of the medial left above-the-knee amputation. A fair amount of dead muscle was removed, as well as the large eschar. Tendons were debrided as well. Hemostasis was controlled..
    HIM removed the 86.22 debridement but kept the 84.3. Any advise or information is appreciated.
    Carol Fowler, CPC-H, CCS

  2. Default Angela Susott CDI
    What did you decide on this case? We have one exactly like that today at our hospital that we are trying to figure out and I agree I thought bone had to be taken out for it to be considered an amputation revision per 2005 1 Q CC.

    Angela Susott

  3. #3
    Montgomery, AL
    Well, I still maintain that bone has to be cut, but our coders kept the stump revision code but I don't think that is correct.
    Carol Fowler, CPC-H, CCS

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