AHA Coding Clinic® for ICD-9 - 2013 Issue 4; Ask the Editor

Exposure of Stimulator Leads

The patient had an exposure of dorsal column stimulator leads through a small wound dehiscence. The physician performed a debridement of wound with aggressive cleaning of the wound and stimulator followed by a multilayer closure. During the procedure, the stimulator was removed; however, it was still attached to its wires. The wound was copiously irrigated with Bacitracin. The wires and battery were cleaned, the wound was irrigated and the stimulator was placed back in the wound. The status of the leads was checked and was unchanged with all impedances good. The pocket was then modified slightly, so that the stimulator could be buried a little deeper. How is this procedure coded in ICD-9-CM? ...

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