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Thread: Dr. wants 25260 but this was not done at wrist Help

  1. #1

    Default Dr. wants 25260 but this was not done at wrist Help

    AAPC: Back to School
    DESCRIPTION OF PROCEDURE:After informed consent was obtained, the patient was brought to the operating room suite, and placed on the table in supine position. General anesthesia was induced, and the hand and forearm were prepped with Betadine and draped in the normal sterile fashion. An Esmarch bandage was used to exsanguinate the extremity, and an upper arm tourniquet was inflated to 250 mmHg. His previous sutures were removed, and additional Brunner incisions were used to expose the finger. Radial and ulnar digital neurovascular bundle for identified, and found to be intact. The flexor digitorum profundus tendon was found to be completely lacerated, with the proximal portion near the level of the PIP joint. The distal portion was lacerated near its insertion on the distal phalanx. This remaining portion was excised, and a cortical window was made for placement of the tendon. A 3-0 Ethibond suture was placed as a Kessler core suture, and was routed through the pulleys out to the tip. The suture was tied over the nail dorsally. Additional bolstering sutures were placed using the Ethibond suture. Cascade of the fingers appeared to be normal after repair. Tourniquet was then released, with a total tourniquet time of approximately 45 minutes. The incision was closed, using a series of interrupted 4-0 nylon sutures. A dressing was applied, consisting of Xeroform, dry gauze, and a dorsal blocking splint, placing the wrist in flexion, and the MP joints in full flexion. This was secured with an Ace wrap. He was awakened from anesthesia, transferred to the hospital bed, and taken to the postanesthesia care unit in stable condition.

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    Where were the previous sutures and what was the indication for the surgery?

    Debra A. Mitchell, MSPH, CPC-H

  3. #3


    right index and middle finger lacerations.

  4. #4


    is anyone out there

  5. #5
    Join Date
    Apr 2007
    Charleston, WV


    26370 imho.

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