Results 1 to 4 of 4

Debridement & Excision Coding Help

  1. #1
    Question Debridement & Excision Coding Help
    Medical Coding Books
    Hi All,

    I need help with the procedure. I'm thinking 11042 is all I'll be able to code. The op report is here:

    Diagnosis: Necrotizing fasciitis of the right lower extremity

    Procedure: Right lower extermity debridement and excision of devitalized tissue with pulsavac irrigation.

    Description of procedure: the patient was laid in supine posiiton after adequate general endotracheal anesthesia. Her right lower extremity and abdomen were sterilely prepped and draped in the normal fashion. Upon examination in the operating room, the patient ahd no obsious involvement of perineum. There was significant induration of the right medial aspect of the thigh with a punctate lesion in the middle. The induration extended up towards the right inguinal crease. An incision was made over this area down through the subcutaneous fat, which was not bleeding, and had watery discharge consistent with necrotizing fasciitis. All devitalized tissue was excised. A portion of the excised tissue was sent for would culture as well as culture swabs taken. The subcutaneous fate and skin were taken down to the adductor muscles which were bleeding and contracting witht he bovie cautery and appeared to be viable. The wound was debrided back to bleeding fat as well as healthy tissue. This was extended up towards the inguinal crease. The femoral vessels were protected with the adductor muscles which appeared viable. The proximal portion of the would was again viable. This was not extened up above the inguinal ligament. The wound was then pulsavaced with several liters of slaine, and we kerlix gauze was applied to the wound.

  2. #2
    Default
    I did, but this was performed on the thigh so I thought those codes wouldn't be appropriate??

  3. #3
    Default
    That is a poser for sure! 11042 is the best code for debridement; skin and subcutaneous tissue. I would use 11042. My only other thought was to go with a lesser code and code 11000 and add 11001 depending on the total body surface area affected.


    Quote Originally Posted by RainyDaze View Post
    Hi All,

    I need help with the procedure. I'm thinking 11042 is all I'll be able to code. The op report is here:

    Diagnosis: Necrotizing fasciitis of the right lower extremity

    Procedure: Right lower extermity debridement and excision of devitalized tissue with pulsavac irrigation.

    Description of procedure: the patient was laid in supine posiiton after adequate general endotracheal anesthesia. Her right lower extremity and abdomen were sterilely prepped and draped in the normal fashion. Upon examination in the operating room, the patient ahd no obsious involvement of perineum. There was significant induration of the right medial aspect of the thigh with a punctate lesion in the middle. The induration extended up towards the right inguinal crease. An incision was made over this area down through the subcutaneous fat, which was not bleeding, and had watery discharge consistent with necrotizing fasciitis. All devitalized tissue was excised. A portion of the excised tissue was sent for would culture as well as culture swabs taken. The subcutaneous fate and skin were taken down to the adductor muscles which were bleeding and contracting witht he bovie cautery and appeared to be viable. The wound was debrided back to bleeding fat as well as healthy tissue. This was extended up towards the inguinal crease. The femoral vessels were protected with the adductor muscles which appeared viable. The proximal portion of the would was again viable. This was not extened up above the inguinal ligament. The wound was then pulsavaced with several liters of slaine, and we kerlix gauze was applied to the wound.

  4. #4
    Default
    I agree with your 11042.

Similar Threads

  1. Replies: 3
    Last Post: 11-06-2014, 01:15 PM
  2. Excision/Debridement of SP tube wound
    By nateich in forum Urology
    Replies: 2
    Last Post: 08-06-2014, 01:30 PM
  3. Debridement vs. excision?
    By rsboggs in forum General Surgery
    Replies: 2
    Last Post: 02-10-2012, 02:49 PM
  4. Replies: 0
    Last Post: 11-01-2011, 10:12 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.