Results 1 to 3 of 3

Help-excision of chronic wound

  1. #1
    Question Help-excision of chronic wound
    Medical Coding Books
    The procedure is as follows: Patient has a chronic festering non-healing wound of the left knee. Procedure description: After general anesthesia and prep, an ellipticla incision was made and the incision using the needle point of the cautery on a low setting. The cautery was used exclusively for the patella. This was a full thickness excision including all of the subcutaneous tissue at that spot. The specimen was removed and it measured about 2.5 cm at the greatest dimension. Bleeding was controlled with the cautery. The wound was infiltrated with 0.25% Marcaine. The wound was then closed in layers using #4-0 Vicryl in the subcutaneous tissue followed by staples in the skin.
    How should this be coded? I was looking at 27327 but path report says lesion left knee- acute and chronic inflammation and dermal fibrosis. No atypia or malignancy.

  2. Default
    Quote Originally Posted by graciejean View Post
    The procedure is as follows: Patient has a chronic festering non-healing wound of the left knee. Procedure description: After general anesthesia and prep, an ellipticla incision was made and the incision using the needle point of the cautery on a low setting. The cautery was used exclusively for the patella. This was a full thickness excision including all of the subcutaneous tissue at that spot. The specimen was removed and it measured about 2.5 cm at the greatest dimension. Bleeding was controlled with the cautery. The wound was infiltrated with 0.25% Marcaine. The wound was then closed in layers using #4-0 Vicryl in the subcutaneous tissue followed by staples in the skin.
    How should this be coded? I was looking at 27327 but path report says lesion left knee- acute and chronic inflammation and dermal fibrosis. No atypia or malignancy.

    Per the cpt book it says to code excision of benign lesions along with the closure code if the closure is more than a simple close which would be included in the procedure, which per the notes you posted, would be a intermediate repair. I would code 11403 and 12031. The 2000 series is more for malignant tumors

  3. #3
    Default
    Quote Originally Posted by ewinnacott View Post
    Per the cpt book it says to code excision of benign lesions along with the closure code if the closure is more than a simple close which would be included in the procedure, which per the notes you posted, would be a intermediate repair. I would code 11403 and 12031. The 2000 series is more for malignant tumors
    The 2000 series is more for malignant tumors? That isn't true at all. You might want to go review the 2000 (20000 technically) section again. That's the section where you find tumor excisions (amongst other things). Tumors can be benign or malignant. Very misleading post. I didn't check the 11403 or 12031 for accuracy, I just don't want any newcomers thinking what you said is true about the 20000 section.

Similar Threads

  1. chronic wound
    By ggparker14 in forum Diagnosis Coding
    Replies: 0
    Last Post: 04-18-2014, 11:45 AM
  2. Excision of chronic umbilical wound infection
    By tldixon@mokancomm.net in forum General Surgery
    Replies: 1
    Last Post: 02-10-2013, 03:42 PM
  3. Chronic wound
    By kumeena in forum Podiatry
    Replies: 0
    Last Post: 08-20-2012, 07:16 AM
  4. Replies: 1
    Last Post: 01-10-2011, 03:58 PM
  5. Chronic Wound.
    By nikkisgranny in forum Orthopaedics
    Replies: 4
    Last Post: 06-10-2009, 12:27 PM

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.