tci ED Coding & Reimbursement Alert - 2014 Issue 10

Reader Question: Sew Up The Right Lac Code Choice By Noting Length, Repair Class

Question: What category of repair would you assign for this patient? I’ve included the note details below: Wound Repair of 4.2 cm subcutaneous laceration to palmar aspect of middle phalanx of left middle finger and palmar aspect of middle phalanx of left ring finger and palmar aspect of middle phalanx of left index finger. Linear shaped. Minimal bleeding noted. Gross contamination. Distal neuro/vascular/tendon intact. Anesthesia: Digital block administered with 8 mls of 1% lidocaine. Wound prep: wound requires Extensive cleansing with Betadine 500 ml X 2, Wound explored extensively, considerable foreign debris removed, copious irrigation. Skin closed...

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