Posted on 21. Jan, 2009 by in Hot Coding Topics
If coding hand surgeries involving a slew of specific terms has you scratching your head, a few minutes brushing up on your hand anatomy could be just what you need to improve your hand surgery acumen.
Op Note Coding Clinic: Take a look at the following hand surgery op note to see if you’re on par with our expert-provided coding recommendations.
Note: The following op note was provided by Chris Ford with the billing department of Coastal Orthopedics and Sports Medicine Group in Oceanside, Calif. Do you have a difficult case? Send your op note to the editor (firstname.lastname@example.org) and see it discussed in future Orthopedic Coding Alert issues!
First, Read This Op Note
Pre-op dx: Right hand wound dehiscence with extensor tendon ruptures and open wound.
Post-op dx: Right hand wound dehiscence with extensor tendon ruptures and open wound.
1) Extensor tendon repair, extensor digitorum communis, right long finger.
2) Extensor digitorum communis, right index finger, tendon transfer, side-to-side to extensor indicis proprius.
3) Right ring finger common extensor tendon side-to-side transfer to extensor of the long finger.
4) Right small finger common extensor tendon side-to-side transfer to extensor of the long finger.
Indications: Patient had previous right hand extensor tenosynovectomy. Postoperatively, this was complicated by wound dehiscence that was closed with delayed primary closure. She then dehisced again and underwent I&D with delayed primary closure. She dehisced a second time and ruptured two extensor tendons on the dorsum of the hand. She underwent irrigation and debridement and the extensor tendon rupture was primarily repaired. She was treated with local wound care.
Findings: Ruptured extensor digitorum communis of the index finger,...
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