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Tangential dermal excision

  1. #1
    Default Tangential dermal excision
    Medical Coding Books
    Can someone please direct me to a code to use for "Tangential excision of full-thickness dermal injury approximately 43.5 sq cm.?" The patient had an antecubital full-thickness dermal extravasation injury.
    Jenny Berkshire, CPC, CEMC, CGIC

  2. #2
    Columbia, MO
    Could we see the op note?

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Here is a portion. The operation was: 1. Tangential excision of full thickness dermal injury approximately 43.5 sq. cm., 2. Placement of negative pressure wound therapy VAC dressing.
    Indication:The patient was initially seen in the hospital for a full thickness dermal extravasation injury. The patient was found to have full thickness dermal injury.

    There's the ususal surgical prep description followed by: "The left antecubital fossa fullthickness dermal injury was tangentially excised using a 15 blade scalpel. The sharp surgical excision and debridement was performed using a combination of 15 blade scalpel and Metzenbaum scissors."
    Jenny Berkshire, CPC, CEMC, CGIC

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