Results 1 to 8 of 8

perc pinning or open treatment

  1. Default perc pinning or open treatment
    Medical Coding Books
    I have a Dr and an office manager that are confusing me. Dr says in the title of the op note that it is perc pinning but when you read the op note he states that he made a stab incision, office manager says because it is a incision it is open???? Please help!!!

  2. #2
    can you post the scrubbed version of the op note?

  3. Default
    I first attempted manipulative reduction by doing an "anterior drawer" type maneuver pulling the ankle and distal tibia anterior to the posterior tibia in order to reduce the posterior displacement. Then reduced the opening of the physis on the lateral aspect of the distal tibia by applying a compressive and varus force across the fracture. The fracture was then imaged in multiple planes. It was felt that the fracture was reduced anatomically. I elected to fix this with a single percutaneous cannulated screw.

    Examination of the fracture pattern on CT demonstrated that the ideal placement would be from the posterior lateral corner of the tibia going anterior. A guidewire was placed into the posterior lateral tibia extending both anterior and medial well proximal to the growth plate. A small incision was made over the guidewire. Soft tissues carefully spread down to bone and the depth gauge measurement taken directly off the guidewire. A 30 mm 3.0 Synthes cannulated screw was then inserted. Satisfactory placement of the hardware and maintenance of the anatomic reduction was confirmed with image intensification in multiple planes and permanent images were made. The wound was irrigated.

    The would was closed with 2 interrupted nylon sutures and infiltrated with 2 mL of 0.25% Marcaine with epinephrine. A sterile dressing was applied incorporated into a very well padded posterior splint. The patient was taken to the recovery room in good condition having tolerated the procedure well. The patient received 1 gram of Ancef intravenous prior to the onset of the procedure and a second gram of Ancef intravenous in the recovery room.

  4. #4
    This was more than a perc pinning, he actually inserted screws. Definitely an open procedure. More than a "stab" incision was made. It was small, but nonetheless, still an incision in which exposed down to the bone to insert the screw.

  5. Default
    thank you

  6. Default Perc-Pin question
    Stab wounds only make a perc-pin not an 'open' procedure

  7. Default
    I agree with Mbort. This was more than just a pinning.


  8. #8
    Milwaukee WI
    Default Open
    I concur w/ mbort & treetoad, this was more than perQ pinning.
    F Tessa Bartels, CPC

Similar Threads

  1. help! Perc pinning little toe
    By taurus7694 in forum Orthopaedics
    Replies: 7
    Last Post: 01-23-2019, 02:02 PM
  2. Closed reduction & perc pinning
    By in forum Orthopaedics
    Replies: 2
    Last Post: 06-08-2015, 03:02 PM
  3. CR Perc Pinning Toe
    By jmkitchen in forum Orthopaedics
    Replies: 6
    Last Post: 10-18-2011, 01:16 PM
  4. Replies: 2
    Last Post: 08-31-2010, 06:55 AM
  5. correct code for perc pinning medial cuneiform
    By foxparty in forum Orthopaedics
    Replies: 1
    Last Post: 03-31-2010, 11:26 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.