Results 1 to 2 of 2

2nd request/help with CPT

  1. #1
    Default 2nd request/help with CPT
    Medical Coding Books
    Need help from other coders. Looking at 11010 and 29125.

    procedure: removal of packing of dorsal wrist and hand wound with repeat irrigation of skin, subq tissue and muscle.

    op note: Cultures were taken prior to irrigation. There did not appear to be any residual purulent material. The skin still appeared to be somewhat irritated with the surrounding cellulitits, but it was improving. The extensor tendons appeared to be intact. There was some trauma to one of the dorsal sensory ulnar nerve branches from the infection, but the nerve itself was still intact. The previous pocket of purulent material extended to the ulnar aspect of the hand over the hypothenar area. No additional skin required sharp debridement, but there were some areas of skin that still looked relatively inflamed and cellulitic. The cellulitis however appeared to be contained. It was not extending up the forearm. After the wound cultures were taken, the wound was thoroughly irrigated with antibiotic solution along the skin, subcutaneous tissue and muscle. The wound was then packed open with quarter inch lodoform guaze. Dry sterile bulky dressing was applied. Patient was placed in a short-arm splint.

    Any help is appreciated.

  2. Default
    Hi, I agree with the 29125 code for your splint application, but the code you want to use for debridement, 11010, is for open fracture, and the way the operative report reads, I do not see that it was an open fracture. (perhaps it was more clearly stated during the initial treatment) If this was not an open fracture I would use 11043 instead.

Similar Threads

  1. EP CPT codes - 2nd request please
    By coders_rock! in forum Cardiology
    Replies: 3
    Last Post: 10-25-2013, 09:45 AM
  2. 2nd Request for CPT partial excision
    By Katie Peterson in forum Orthopaedics
    Replies: 1
    Last Post: 05-02-2011, 11:19 AM
  3. 2nd REQUEST
    By Lisa A in forum Orthopaedics
    Replies: 6
    Last Post: 01-31-2011, 07:12 AM
  4. 2nd request, please help if you can :0)
    By JenReyn99 in forum Orthopaedics
    Replies: 8
    Last Post: 11-08-2010, 09:38 PM
  5. 2nd Request!! Please Help!!
    By Lisa A in forum Orthopaedics
    Replies: 1
    Last Post: 07-30-2009, 08:54 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?


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.