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Thread: Anterior Tibialis tendon debridement

  1. #1
    Join Date
    Apr 2007
    Biloxi, MS

    Question Anterior Tibialis tendon debridement

    AAPC: Back to School
    I'm hoping someone could help. I can not find a code for debridement of tibial tendon. Would I use 11043? I'm having one of those days

    Extensive debridement and irrigation of anterior tibialis tendon
    with application of a wound VAC.

    Patient was taken to the operating suite under general anesthesia.
    Her right lower extremity was prepped with Betadine solution, draped
    in a sterile manner. Had a pneumatic tourniquet applied to the
    upper thigh and set at 300 mmHg. After prepping and draping the leg
    was elevated and tourniquet inflated. Inspection demonstrated an
    exposed lacerated anterior tibialis tendon with a brown purulent
    drainage exuding from the distal third of the anterior tibia area.
    Incision was carried out anterior and posterior in a longitudinal
    fashion along the tendon sheath, which was involved with purulent
    drainage from its origin proximally to the ankle distally. The
    ankle joint did not appear to be involved. There was a second open
    area just medial to the midline with purulence. The entire tendon
    sheath was opened and debrided of the necrotic tendon. The tendon
    sheath was involved in inflammatory tissue and debridement of the...

  2. #2



    At the very least I would consider 11044 to bone because he did mention visualizing the ankle... I am wondering if this was an open fracture or just the tendon laceration. I am also wondering if it might be possible to use one of the repair of tendon codes instead. (maybe 27658) but the whole op report isn't there so not quite sure... Just a suggestion.

  3. #3
    Join Date
    Apr 2007
    Biloxi, MS


    Thank you Maryanne!

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