mercredi 22 juillet 2015

Excision of Tissue and closure of Wound, Rt Great Toe

Can anyone please assist me with the coding of this procedure? I need assistance with 1 & 2 please:

Procedure:
1. Irrigation and debridement, rt foot
2. Excision of tissue and closure of wound, rt great toe
3. Right fifth toe and partial fifth ray amputation (CPT 28810)

"The patient was placed on the operating table in supine position. Following successful anesthesia the right lower extremity was prepped and draped in the usual sterile fashion. The great toe would was approximately 1 cm in length and the base was cleaned. An elliptical incision was made and sharp dissection was taken through the wound and the wound was then irrigated and closed directly using nylon sutures." ...Then continues on into the ray amputation....

Dx: 1. Osteomyelitis, right fifth toe and fifth distal metatarsal.
2. Open would, right great toe

History: Pt has history of long-standing diabetes and has had a long standing ulcer about her right foot laterally and she is status post partial amputation of her great toe.


Excision of Tissue and closure of Wound, Rt Great Toe

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