tci General Surgery Coding Alert - 2014 Issue 4

Reader Question: 49900 Captures Abdominal Wall Repair

Question:  How should I code this case involving an injury from a motorcycle accident? The documentation reads: “Using #1 PDS suture, we repaired tears of the rectus abdominis into the deep fascia in the anterior abdominal wall. The bladder was protected throughout the dissection and repair. We proceeded with closure performing interrupted closure of the rectus abdominis and fascia in the midline with interrupted figure of eight sutures and then also a running #1 Vicryl to augment the closure. Then #1 Vicryl suture was utilized to close the deep subcutaneous dead space. Subcutaneous closure was performed for...

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