Dasika Posted Tue 23rd of January, 2018 11:48:41 AM
Need help with dx & procedure Codes:
Pre-Op dx is foreign body, abdominal wound
Post OP dx is suture granuloma subfascial involving small bowel. (site of J-tube)
Procedure - Wound exploration with removal of suture and repair of small bowel enterotomy:The previous incision was reopened for a distance of about 3
cm. Bleeding is controlled with cautery. Dissection is carried down to the
subfascial where a piece of Ethibond suture is encountered. This is removed.
There is also a silk suture which is attached to the small bowel. This evidently
was a stitch used to keep the small bowel against the abdominal wall. This is
removed. A small enterotomy is inadvertently made. This is closed in 2 layers
using interrupted Vicryl suture. Omental patch is then placed over this and held
in place with Vicryl suture. The wound is irrigated. The abdominal wall was
closed in one layer with interrupted 2-0 nylon suture. Dressing is placed.
SuperCoder Answered Wed 24th of January, 2018 01:59:27 AM
The appropriate code to bill for granuloma suture removal is cpt 49402 and the ICD-10 code will be L76.82. Please feel to ask for any further query. Thank you.