Results 1 to 2 of 2

Coding Wound Exploration

  1. Default Coding Wound Exploration
    Exam Training Packages
    40 yr old male,helping build fence on farm, when a piece of barbwire dislodged & went into forearm. ER xray showed a metal fragment. ER phys made an incision & tried to remove, but failed. Closure with 1 stitch & referral to Ortho surgeon next day. Would procedure code 20103 be appropriate?

  2. #2
    Location
    Milwaukee WI
    Posts
    4,466
    Default 20103
    Here's the lay description for CPT 20103:
    The physician explores a penetrating wound in the operating room, such as a gunshot or stab wound, to help identify damaged structures. Nerve, organ, and blood vessel integrity is assessed. The wound may be enlarged to help assess the damage. Debridement, removal of foreign bodies, and ligation or coagulation of minor blood vessels in the subcutaneous tissues, fascia, and muscle are also included in this range of codes. Damaged tissues are debrided and repaired when possible. The wound is closed (if clean) or packed open if contaminated by the penetrating body. Report 20100 for exploration of a neck wound. Report 20101 for exploration of a chest wound. Report 20102 for exploration of an abdomen, flank, or back wound. Report 20103 for exploration of a wound to an extremity.

    If your ER physician's documentation matches this description, then that's your code. This code WILL accept a -52 modifier if reduced service was performed.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. wound exploration - radial distal forearm
    By scooter1 in forum Orthopaedics
    Replies: 1
    Last Post: 11-05-2015, 10:35 AM
  2. Help:) Wound exploration
    By emilyadams1993@yahoo.com in forum Plastic Surgery
    Replies: 2
    Last Post: 04-03-2015, 04:11 PM
  3. Replies: 0
    Last Post: 12-23-2013, 08:55 AM
  4. wound exploration - CPT and ICD codes
    By Samin in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 05-16-2011, 02:01 PM
  5. Wound exploration
    By dzaino in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 05-07-2010, 08:50 AM

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?

Login

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.