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debrdement of left elbow

  1. Default debrdement of left elbow
    Medical Coding Books
    Please give input, physician is coding 11044 . By op report I am leaning towards 11042.
    Procedure: Excisonal debridement of skin aand sugQ tissue, left elbow bursal wound w/ intemendiate closure.


    Description of proc:
    Patient was taken to the OR and given IV in the left hand. The left upper extemity was prepped and draped in the usual sterile fashion. I removed the previous sutures and then used a #15 blade to sharply excise the edges to have fresh edges about 1mm off both sides. I irrigated this. I then attempted to close this with a 3-0 vicryl interrupted sutures, but the skin was too thin, so I used multiple simple 3-0 nylon sutures to do this. I then dressed this with Polysporin, Xerofoam, 4x4's and ABD and placed him in a cast and a 4" posterior and elbow anterior elbow splint in nearly full extension.

    I don't see wher he went to the bone, but perhaps Im not interpreting this correct.

    Paula

  2. #2
    Location
    Greater Pittsburgh
    Posts
    390
    Default
    I agree with you, he states skin and subQ in his note, I do not see bone.
    jdemar, CPC, CMA

  3. #3
    Location
    Milwaukee WI
    Posts
    4,466
    Default Where's the SubQ?
    I don't even see SubQ documented in the note ... 11041.

    F Tessa Bartels, CPC, CEMC

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