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Incision and drainage abdomen and wound vac

  1. Default Incision and drainage abdomen and wound vac
    Medical Coding Books
    Please assist with proper codes. Thanks again in advance!

    Worsening cellulitis, erythema, and tunneling of chronically infected right
    abdominal/flank wound.

    Worsening cellulitis, erythema, and tunneling of chronically infected right
    abdominal/flank wound.

    1. Incision, drainage, aggressive debridement with unroofing of tunneling of
    This 20 x 15 x 10 cm wound.
    2. Placement of wound a wound vacuum-assisted closure.

    The patient returns with some increased tunneling laterally on her wound, which
    actually, up to this point, had been doing well. Unfortunately, she now has
    purulent drainage, cellulitis, and clearly deep posterior lateral wound, which
    needs unroofing and debridement.

    The patient was brought to the operating room, prepped and draped in the usual
    sterile manner. Appropriate time-out was performed. We opened the wound. We
    unroofed all tunneled areas. We debrided aggressively areas of cellulitis and
    purulence, and ultimately, ended up with a wound approximately 20 x 15 x 10 cm.
    We then placed the wound VAC to the depths of the wound. We used some of the
    VersaFoam sponge for the tunneling areas and subsequently the black foam sponge
    on top. She tolerated this well, and was brought to the recovery area in
    satisfactory condition. All counts were correct.

  2. #2
    Send back for an addendum...need more info on depths of debridement to chose the correct CPT.


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