Becky Posted Mon 04th of April, 2016 06:50:32 AM
10 x 8x 6 cm fluid collection 3 cm deep to the subcutaneous tissue
What code would I use for this ? 11042 ?
SuperCoder Answered Tue 05th of April, 2016 08:21:30 AM
For subcutaneous tissue debridement,11042 is the correct code. But Your question is for Fluid collection, so this code is not appropriate for fluid collection. There is a code series for fluid collection coding. So kindly elaborate your query for correct fluid collection coding.
Becky Posted Tue 05th of April, 2016 09:21:58 AM
The patient was in the supine position and was prepped and draped in the usual sterile fashion. The prior incision site was draining copious purulent, foul smelling fluid. A 15-blade scalpel was used to incise and extend the inferior aspect of her previous midline infraumbilical incision in the caudad direction by 5 cm. The Bovie was then used to carry it down to the subcutaneous tissue until a large pocket of foul-smelling purulent fluid was noted. Cultures were sent to Pathology. The pulse lavage water irrigator was used to clean and debride the wound. The wound was then inspected and again debrided manually. The pulse lavage irrigator was used to further clean the wound. At this point healthy granulation tissue was noted. The fascia was noted to be intact. The wound was then packed with Kerlix soaked in chlorpactin and an ABD was placed over the incision. The patient tolerated the procedure well and was taken to the recovery room in stable condition.
SuperCoder Answered Wed 06th of April, 2016 08:24:40 AM
As per the procedure, yes you are coding correctly. you will code 11042 for the procedure.