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Thread: Dermal grafts used inside wounds such as hernia repairs?

  1. #1
    Join Date
    Apr 2007
    Hamden, CT

    Default Dermal grafts used inside wounds such as hernia repairs?

    AAPC: Back to School
    Can anyone give me some guidance on the use of a dermal graft (such as Flex HD) inside a wound rather than using mesh? Our doctor is questioning the 15330 codes used for such purposes, as those are anatomical and read as if they are for external wounds.

    OP note reads:

    Wound had been grossly contaminated by the fistulae. It was therefore decided that a mesh would not be appropriate. A large dermal graft was then brought to the field. It was 10 x 20 cm. It was trimmed to an appropriate size and inset to the costal margins, the superior edge and the fascial edges inferiorly with a combination of interrupted and running 0 prolene sutures. It was put under mild tension to create an appropriate contour. A blake drain was placed through a seperate stab wound and made to lie beneath the abdominoplasty flap. The flap was then elevated immobilized in the superior direction. The wound was loosely approximated. This was done to allow drainage in the event of wound infection for which he was at significant risk...

    Patient has an open abdominal wound with a ventral hernia and excision of excess skin for abdominal wound closure.

    I appreciate any guidance or information.

  2. #2
    Join Date
    Apr 2007


    Use the add on code 49568 which describes mesh or other prosthesis with the repair code

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