Secondary wound closure

Can someone confirm me the code for the below procedure

13160

PREOPERATIVE DIAGNOSIS: Right leg posterior compartment fasciotomy wound.

POSTOPERATIVE DIAGNOSIS: Right leg posterior compartment fasciotomy wound.

PROCEDURE: Secondary closure of right leg, posterior compartment fasciotomy

wound.

INDICATIONS: A 73-year-old man, who presented to the hospital approximately a

week ago with right leg pain. The patient had just an extensive travel from

Burma to Japan to New York to North Caroline and then a car ride down to

Florida from North Caroline. I saw the patient on 03/06/2015 and at

that time, his calf was firm. Compartment pressure showed that the posterior

compartment was markedly elevated at 108. . However, there is a moderate to large size hematoma on

the calf muscle, approximately 5 cm in diameter. He was taken to surgery,

where he underwent fasciotomy in the posterior and deep compartments. The

muscle was viable. The patient was found to have a liquid hematoma in the

soleus muscle. This was evacuated. The patient had multiple bleeders from

multiple sites.The patient's renal function was stable. Benefits, risk of

right leg exploration, secondary closure of fasciotomy wound were discussed

with the patient and his wife. Risks reviewed included pain, bleeding,

infection, permanent leg weakness, numbness, pain. The patient agreed to

procedure.

PROCEDURE IN DETAIL: Informed consent was obtained. The patient was brought

to operating room and placed in supine position. Adequate anesthesia was

obtained using general endotracheal intubation. The patient's right leg was

prepped and draped in normal sterile fashion. The patient's muscle was all

viable and was contracted. Soleus muscle did have moderate edema present, but

the edema had decreased quite a bit. The wounds were irrigated out copiously

with normal saline and prior Surgicel was removed. Hemostasis was achieved

with electrocautery. The swelling had decreased quite a bit and by pulling

the skin edges together. The whole wound would be able to be approximated

with minimal tension. I placed two #19 round Blake drains, one deep to the

soleus muscle, one posterior to the soleus muscle. These were sewn in place

with heavy nylon. The skin was then closed with staples. After closure, the

muscle compartment was soft and compartment did not appear to be in any other

tension. Dressings were applied as well as including a 6-inch Ace wrap.

Estimated blood loss was 50 cc. Sponge, needle, and instrument counts were

correct at the end of the procedure. The patient was sent to recovery room in

stable condition.

Secondary wound closure