1. Try Super
   Posted 4 months ago #
   

   Need help coding closure of the penis from the base 5cm (superficial)
   and closure of testicle (complex) 5cm
   with 4 penrose drains.

   DX is self inflicted larte laceration to penis and scrotum

2. SuperCoder
   Posted 4 months ago #
   

   Superficial Closure of Penis=Simple Repair from the base 5cm:
   12002[Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm ]
   *
   Complex Closure of Testicle of for 5 cm :
   Complex Repair: 13132[Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm],
   if done bilaterally, then 5+5=10cm closure, and the code will be 13132 and 13133.
   *
   If you have placed the drains only or placement of drain after an Incision and Drainage?
   *
   Placement of Drains "Only": If you need to place a drain or pack to allow for continuous drainage, the procedure would be considered complex. Since you have performed a complex closure, the placement of drain is part of it.
   *
   For "placement of drain after an Incision and Drainage", the drain placement is included in Incision and Drainage. So, only I&D is to be coded.
   *
   There is no specific code for "placement of Drain". If I&D performed, then placement of drainage is included in I&D.
   In this case the code would not be 10060 or 10061 as normally we use, becasue we have anatomy specific code available in this case, i.e;
   *
   54700: Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma).

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