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Thread: excision of open wound??

  1. #1
    Join Date
    Apr 2007

    Smile excision of open wound??

    AAPC: Back to School
    Do I code the excision or just the debriedement and flap closure???

    PREOPERATIVE DIAGNOSIS: Giant 15 x 10 cm nonhealing open wound from
    trauma to scalp and forehead.

    POSTOPERATIVE DIAGNOSIS: Giant 15 x 10 cm nonhealing open wound from
    trauma to scalp and forehead.

    PROCEDURE PERFORMED: Excision of skin and subcutaneous tissue and
    underlying muscle for debridement of wound and fasciocutaneous flap

    DESCRIPTION OF PROCEDURE: Under general anesthesia with the patient
    prepped and draped in the usual sterile fashion. Scalpel was used
    and Bovie cauterization was used to completely excise the very large
    defect. This is the first stage of reconstruction to try and get the
    wound closed. The wound was cultured and the specimen was sent to
    pathology. There were no foreign bodies noted within the area.
    Following complete excision this left a very large defect that had to
    be closed by Washio fasciocutaneous flap base branch at the
    superficial temporal artery. Flaps were elevated all the way down to
    the cranial base on both sides and then elevated and interdigitated
    in a Washio pattern, closing with multiple horizontal mattress
    sutures and staples because of the infection that had been present.
    The patient tolerated the procedure well. There were no known
    complications. The patient was sent to recovery room in good

  2. #2


    would you bill the repair codes for this

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