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Thread: Excision of sinus tract fistula

  1. #1
    Join Date
    Apr 2007
    Johnson City

    Default Excision of sinus tract fistula

    AAPC: Back to School
    Any suggestions on how to code this scenario?

    After the smooth induction of the general anesthetic via

    LMA, the left groin was clipped of hair, prepped with ChloraPrep, four

    towels, Ioban and laparotomy sheet. The IV antibiotics were

    administered. The medially placed sinus tract was elliptically incised

    and a linear incision was made following its tract. The tract was then

    separated from the surrounding subcutaneous tissues down to its base

    which appears to be a patch of Gore-Tex. This was separated from the

    surrounding structures and tissues without injury to the cord structures.

    It appeared that the surrounding tissues were not indurated and not

    inflamed. The entire granulation tissue and sinus tract mesh were

    removed. The area was copiously irrigated with antibiotic solution. The

    subcutaneous was closed with 3-0 Vicryl

    and interrupted 3-0 nylon sutures. Sterile dressing was applied.

  2. #2
    Join Date
    Apr 2007
    Johnson City


    I think my question was answered through reading the answers to the posting related to excision of scar. Code 15002 sounds right to me.
    I read the description in my general surgery coding companion and it seems to fit.

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