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Exploration of post op wound

Susan m Posted Thu 25th of September, 2014 16:43:48 PM

Need help coding the following:

The patient presented with significant pain, discomfort & swelling following an I&D of the buttock. She is taken to the operative suite for exploration.

Minimal ooze at the skin edges was controlled with cautery. Wound was inspected. No other pathology, abnormalities appreciated. Digitally explored the subcutaneous tissues to the area of more significant pain, subcutaneous adipose tissues without abnormality. There was no purulence. There was no skin abnormalities. We injected this area with approximately 20 mL of Marcaine and packed with gauze.

Thanks!

SuperCoder Answered Wed 08th of October, 2014 00:37:44 AM

Thanks for you query. Can you please share with us which code did you used for I&D on buttock?

Thanks !!

Susan m Posted Wed 08th of October, 2014 11:08:41 AM

Op has not been coded yet. We were waiting on suggestions. :)

SuperCoder Answered Fri 10th of October, 2014 02:09:50 AM

We are working on your query, response will be sent to you very shortly.

Thank you!

SuperCoder Answered Mon 13th of October, 2014 08:26:22 AM

You should use code 35860, Exploration for postoperative hemorrhage, thrombosis or infection; extremity.

Thanks !!

Susan m Posted Mon 13th of October, 2014 09:31:41 AM

Thanks so much for your help!! :)

SuperCoder Answered Mon 13th of October, 2014 09:44:12 AM

You are welcome.

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