AHA Coding Clinic® for HCPCS - 2025 Issue 2; Ask the Editor

Fulguration of granulation tissue

A patient with a history of abdominal surgeries presented with a subcutaneous pocket with a sinus tract and hypertrophic granulation tissue at the 3 o’clock position, as well as a small suture granuloma at the 6 o’clock position. The suture granuloma was grasped and removed without significant fluid collection. The skin and subcutaneous tissue surrounding the hypertrophic granulation tissue at the site was anesthetized and fulgurated.The sinus tract at the 3 o’clock position was probed and measured approximately 3 cm laterally. The overlying skin was incised and opened evealing subcutaneous fat with no evidence of abscess or undrained fluid collection. The hypertrophic granulation tissue was fulgurated, and a small skin bridge at the 8 o’clock position was excised.How should ulguration of hypertrophic granulation tissue be coded? ...

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