AAPC - Back to school
Results 1 to 5 of 5

Thread: How would you code this with the hand?

  1. #1

    Smile How would you code this with the hand?

    AAPC: Back to School
    S: Pt presents at this time after hooking his hand on a wheelbarrow. It caught the webbing between his thumb and first finger. He believes that this happened 3-4 days ago. It is now getting red and swollen and is oozing a little bit of serosanguineous fluid.
    O: There is an irregular previous laceration in the webspace between thumb and first finger and it is now erythematous and puffy. It is draining a little serosanguineous fluid but nothing purulent. Erythema extends to the dorsum of his hand somewhat.
    P: We will treat now with Duricef 500 mg b.i.d. for 10 days. Bactroban ointment to be applied after soaking in Epsom Salt and cleansing well with Hibiclens. Patient is to keep it up and elevated as much as possible. We will recheck it in a week. Patient does have a history of CLL and does not remember his last tetanus shot so Tdap is given at this time. Patient is to watch for any progression of erythema or swelling. F/u sooner if having more trouble. He denies any fevers at this time.

    Thank you

  2. #2

    Default coding

    I coded it as 914.9, E918, E849.0.....
    but QA says no...

    What do you think?

  3. #3

    Default infection

    Do they want to see wound open hand complicated?

  4. #4

    Default code

    QA said it should have been 882.1

  5. #5


    This meets the complicated wound description of delayed treatment, delayed healing or infection. A foreign body in an open wound also is coded as a complicated wound.

Similar Threads

  1. Same code different hand...
    By isiahnetta@gmail.com in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 03-21-2014, 12:54 PM
  2. is there code for hand-assisted Lap?
    By MSCURTISK in forum Gastroenterology
    Replies: 4
    Last Post: 05-14-2012, 09:04 AM
  3. Need a hand with code
    By staps7981 in forum Diagnosis Coding
    Replies: 3
    Last Post: 05-07-2012, 09:00 AM
  4. dx code wound hand??
    By mlsstnt@aol.com in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 12-09-2010, 09:32 AM
  5. How do you code Aponeurotomy hand
    By ctoots in forum Orthopaedics
    Replies: 2
    Last Post: 01-23-2010, 08:43 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?


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.