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  1. #1
    Default fasciotomy
    Medical Coding Books
    I have 2 questions:
    1. Debridement and fasciotomy of forearm and upper arm with exploration of median nerve, brachial artery and vein and ulnar nerve.

    code 24495 fits but do I code the debridement separate or is it included in the code?

    2. The above is for necrotizing fasciitis and 3 days later the following was done:

    *debridement and irrigation of forearm and upper arm, right ---CPT 10180
    *right axillary dissection
    *exploration or right lateral chest wall, including lateral latissimus and deltoid as well as pect major and minor. ---CPT 11043
    11046 x 26

    Question: Is there a CPT for the axillary dissection?
    And any other help or ideas would be appreciated

  2. #2
    Clinicians divide axillary lymph nodes into three levels. Level II and III lymph nodes are always deep (38525). Level I nodes may be either deep or easily palpable (38500), depending on the individual patient. Deep dissection always includes superficial dissection through the same incision.

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