AHA Coding Clinic® for ICD-9 - 2013 Issue 4; Ask the Editor
Excisional Debridement and Placement of Wittman Patch
A 64-year-old patient presented in septic shock with an ischemic perforated abdominal viscus. She underwent laparotomy, and her abdomen was left open with a wound VAC in place. The patient then underwent excisional debridement of necrotic tissue off the fascia, and placement of a Wittman patch. If a Wittman patch is used during a procedure, how is this coded in ICD-9-CM? ...
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Article Overview
This article addresses a surgical coding question involving an open abdominal procedure, excisional debridement, and use of a temporary closure device. It is aimed at coders and other healthcare revenue cycle professionals who need to understand what type of coding guidance is being discussed and how the topic relates to ICD-9-CM procedure reporting.
Why This Topic Matters
Temporary closure devices can appear in complex surgical cases, and this article helps readers understand that the discussion centers on coding the operative work rather than the device itself. It is relevant for identifying whether the content applies to abdominal surgery, wound management, and historical ICD-9-CM procedure coding.
What You Will Learn
- How the article frames a surgical coding question involving temporary abdominal closure
- What general type of procedure documentation is being discussed
- How the topic relates to ICD-9-CM procedure coding guidance
- Why a temporary closure device may be part of the coding context
Who Should Read This
- Medical coders
- Coding auditors
- Revenue cycle professionals
- Compliance staff
- Surgical coding specialists
Codes Discussed
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