AAPC - Back to school
Results 1 to 4 of 4

Thread: Excison of Skin & subcu. tissue and wound peritoneum HELP!

  1. #1

    Default Excison of Skin & subcu. tissue and wound peritoneum HELP!

    AAPC: Back to School
    I am not good at coding any kind of wound or skin excisions. i need help with this OP report(below) please tell me what you think.....

    Pre OP Diagnosis: Right peritoneal wound status post radical debridement of necrotizing fasciitis.

    Post OP diagnosis:Pre OP Diagnosis: Right peritoneal wound status post radical debridement of necrotizing fasciitis.

    Description of procedure: PT was taken to the operating room and put in supine position.........the patient was preped and draped in low lithotomy position... the area was excised using a 15 scapel and excised through the skin and the subcu tissue and the wound was irregated copiously with saline, kefsol solution and was then closed with interupted 2-0 vicryl inverted stitched and 3-0 nylon horozonal matress sutures and sterile dressing was applied. the patient tolerated the procedure well.

    This is the entire OP report does anyone have any idea what i would code for this? is this enough information?

    Thanks for any help!!

  2. #2


    would i use 13160????

  3. #3


    Is there an H&P in the chart about the history of the wound? This is the full description of 13160: The physician secondarily repairs a surgical skin closure after an infectious breakdown of the healing skin. After resolution of the infection, the wound is now ready for closure. The physician uses a scalpel to excise granulation and scar tissue. Skin margins are trimmed to bleeding edges. The wound is sutured in several layers. Hope this helps.
    Last edited by bethh05; 05-09-2011 at 02:35 PM.

  4. #4
    Join Date
    Apr 2007


    13160 is fine with supporting DX, maybe 998.83

Similar Threads

  1. Need Coding Help-Skin Graft Excison
    By Barb Hubert in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 07-18-2012, 01:34 PM
  2. tissue adequacy, skin scrape
    By 00056831 in forum Pathology & Clinical Laboratory
    Replies: 0
    Last Post: 05-10-2011, 11:06 AM
  3. Re-excison lumpectomy wound
    By vkratzer in forum General Surgery
    Replies: 2
    Last Post: 05-12-2010, 02:16 PM
  4. Replies: 2
    Last Post: 02-01-2010, 06:05 PM
  5. adjacent tissue transfer and skin flaps
    By carriep9829 in forum Outpatient Facilities
    Replies: 0
    Last Post: 11-25-2009, 01:04 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.