Results 1 to 3 of 3

Laceration Repair-I do very few

  1. Default Laceration Repair-I do very few
    Medical Coding Books
    I do very few laceration repairs, so any help would be greatly appreciated.

    Here is the operative note
    Preop Dx. Traumatic injury of Left lower extremity with greater than 6-8cm laceration, full thickness.
    Postop Dx.Full thickness laceration with some subcutaneous tissue loss, avulsion injury, ischemic tissue
    Procedure: Irrigation with Pulsavac, debridement of obviously devitalized tissue, and primary closure of traumatic injury.

    Procedural note: The left lower extremity was prepped and draped in a sterile fashion. It had been previously irrigated and washed in the emergency room.

    At this juncture there wa sno obvious particulate or foreign debris within the wound. Pulsavac irrigation was commenced with 3 liters of solution. The patient did not have violation of the deepest fascial layer over the anterior shin. There was no exposed periosteum. The fascial layer of the muscular compartment anteriorly was not violated. After the irrigation was performed I did approximate the subcutaneous tissue at the inferiomost portion of the wound;however, the other portions of the wound had somewhat of a subcutaneous tissue loss such that I could not approximate the subcutaneous tissue with absorbable suture; however, I could bring together the skin flaps and did so with interrupted vetical mattress 4-0 nylon sutures and I did interspace these with additional sutures of 5-0silk, some interrupted, some vertical matress, and in this manner I was able to achieve a complete primary closure. The inferior portion of the wound and an area of perhaps 0.5% total body surface area, maybe a 3X6area portion was an avulsion injury that was a full dermal flap. This did appear to be viable, however, and I approximated this faily meticulously with 5-0 nylon. Following the closureTriple Antibiotic ointment was placed and then he dresses the wound.

    My question is this an intermediate repair or would this be complex? I'm thinking intermediate, 12037
    Any help is greatly appreciated.

  2. Default
    I believe it is complex. Those codes include debridement, irrigation, trimming to allow proper closure and layered closure.

  3. Default
    Thank you, Marci

Similar Threads

  1. Laceration repair - complex laceration
    By Tgarner2016 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 06-17-2015, 01:26 PM
  2. Laceration repair or Nail repair?
    By calicoder10 in forum Diagnosis Coding
    Replies: 0
    Last Post: 05-05-2015, 07:16 PM
  3. Complex laceration repair and Tendon repair
    By Cheryl O in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 06-08-2013, 01:11 PM
  4. laceration repair with nerve repair
    By Tianne in forum Plastic Surgery
    Replies: 0
    Last Post: 10-11-2012, 12:54 PM
  5. Open wound/laceration repair with a tendon repair
    By twosmek in forum Orthopaedics
    Replies: 1
    Last Post: 04-19-2011, 12:35 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.