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Breast wound debridement?

  1. Default Breast wound debridement?
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    Doc did a debridement of right breast wound with advancement tissue closure of wound. Not sure what cpt to choose?

    DX: Right breast complex wound

    patient has a history of breast cancer with status post bilateral mastectomies. patient had undergone immediate bilateral first stage breast reconstruction following the mastectomies with insertion of tissue expanders. Due to the history of radiation on the right side, the patient developed an area of necrosis around her incision on the right breast reconstruction. As such the plan was made to take th epatient to the opeating room to debride the necrotic area and advanced the tissue flaps closed.

    The right breast wound, which measured approximately 12 cm was sharply debrided with #10 blade. The superior and inferior skin flaps were then re-elevated and debrided with a curette. The tissues were then advanced and closed using multiple interrupted mattress sutures with 2-0 nylon followied by a baseball stitch of 4-0 nylon. prior to complete closure a #7 Jackson Pratt drain was placed in the subcutaneous plane.

  2. #2
    I would report an advancement code, minimal debridment is included I would say..


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