AAPC - July Freedom Sale
Results 1 to 2 of 2

Thread: Need help

  1. #1

    Default Need help

    Below is a procedure that I need help with. Thanks



    PREOPERATIVE DIAGNOSIS: Displaced basilar fracture fifth metacarpal.

    POST OPERATIVE DIAGNOSIS: Displaced basilar fracture fifth metacarpal.

    PROCEDURE: Removal of small bone fragments base of left fifth metacarpal with reattachment of the adductor tendon left wrist.

    ANESTHESIA: Scalene block.

    BRIEF HISTORY: The above mentioned patient is a 38 year old who sustained a fall resulting in a comminuted displaced fracture of the left fifth metacarpal and admitted now for stabilization of the same.

    DETAILED OPERATIVE PROCEDURE: After induction of satisfactory scalene block anesthesia the patient’s left upper extremity was prepped and draped in sterile fashion. The extremity was elevated, exsanguinated with an Esmarch’s bandage. Tourniquet pressure of 250 mmHg to the upper arm tourniquet. A dorsal incision was made across the base of the left fifth metacarpal at the carpal metacarpal joint and was extended through subcutaneous tissue. Hemostasis was obtained with Bovie electrocardiographic apparatus. Extensor mechanism was reflected appropriately and we did identify the fracture fragments. There was no dislocation of the carpal, metacarpal joint. The fragments were much to small for repair and there was really no cartilage on two of those fragments therefore I very carefully removed those fragments and resewed the adductor tendon to the fascia to the periosteum of the base of the fifth metacarpal with good result. I performed capsular repair dorsally with interrupted 0-Vicryl. Subcutaneous tissues were closed with 3-0 Vicryl. Skin was closed with 4-0 Nylon.

  2. #2

    Default

    2017 ICD-10-CM Coding Book
    Putting this back out there.... does anyone have any ideas on this?????

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.