AAPC - Back to school
Results 1 to 2 of 2

Thread: please help with CPT

  1. #1

    Default please help with CPT

    AAPC: Back to School
    Please help with bone shortening, irrigation debridement, full thickness pinch graft.

    op note reads: The patient's nail bed needed to be removed to evaluate the nail bed. Patient did have an injury at the very distal end of the nail bed. Patient was missing skin over approximately 2.5 cm area over the radial aspect of the index finger. The wound was irrigated. I opted to partially trim some of the bone and rearrange the distal skin flap. Some of the distal tuft of the bone was removed and image intensification confirmed the residual amount of bone left. The distal skin flap was rearranged to allow for full thickness skin with sensibility. The portion of the nail bed that was lacerated was actually trimmed since this was over the distal tuft that was trimmed for primary shortening. The subcutaneous tissues were gently reapproximated to decrease the skin gap over the radial aspect fo the fingertip. Patient had a small portion of full thickness skin loss over the radial aspect of the fingertip. In order to provide biologic coverage, a pinched full thickness skin graft was taken from the proximal medial forearm. The skin graft was taken and it was pie crusted with 11 blade to allow for drainage of any potential subcutaneous hematoma. The skin graft was subsequently sutured in place with 4-0 Monocryl. The nail plate was trimmed and placed back in position over the nail bed to protect the nail bed adn sutured lossely into position with 4-0 Vicryl.

  2. #2


    I would code this as 11752 and 15050.

Similar Threads

  1. Does cpt code 64450 include cpt s0020?
    By micki127 in forum Anesthesia
    Replies: 1
    Last Post: 04-23-2014, 09:40 AM
  2. Opinion on physicians supplying surgical cpt cpt codes
    By ORTHO1 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 02-17-2010, 03:15 PM
  3. Modifier for coding CPT 64612 & CPT 64613 on same day
    By anuja.devasthali in forum Modifiers
    Replies: 2
    Last Post: 08-21-2009, 11:33 PM
  4. Coding for CPT 97140 & CPT 97035
    By neha.bhatnagar in forum Modifiers
    Replies: 5
    Last Post: 06-09-2009, 11:01 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?


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.