Integumentary and Musculoskeletal Discussion--Health Informatics Management *Exp

Question

Integumentary and Musculoskeletal Discussion--Health Informatics Management

*Explain thoroughly how to code for repairs, include guidelines for coding of decontamination and debridement and also simple ligation of nerves and exploration of severed structures.

*Explain in detail the guidelines that apply to Tissue transfer or rearrangement, give an example

*Discuss the coding of skin replacement surgeries, give an example.

*Explain in detail the guidelines that apply to the excision and incision of breast lesion, give examples of how to code for these procedures.

Explanation / Answer

Debridement: means surgical removal of foreign particle and dead tissue from a wound area in order to protect from infection and promote healing. CPT ( current procedural terminology ): It is a coding technology, and includes guidelines for assigning  procedures and services performed by physicians and other health care providerS.

for musculoskeletal :The CPT code is unilateral 64450 (anesthetic agent—peripheral nerve) and neurolytic 64640 (pheno neurolysis—peripheral nerve).

The nerve ligation should be done by sewing the cut ends together. Repair increases the likelihood that the living proximal part will grow in the proper direction, along the path left by the disintegrating distal part.

Nerves grow at a rate of 1 mm/day once the reparative process begins.

. Simple "exploration" of nerves exposed in an open wound is also considered part of the wound repair.

-The Adjacent tissue transfer or rearrangement procedures are described by the series of codes 14000-14300.

Procedure An adjacent tissue transfer or rearrangement is performed in two stages:- The first stage is when the local flap is taken from the donor site and sewn into the site where the lesion or skin defect is located. The two sites are connected together by a bridge of tissue called the flap pedicle, which provides continuous blood supply to the local flap for a couple of weeks.

The second stage of the process is when the flap pedicle is cut permanently. This stage is performed only when the flap already receives blood from the recipient site, and thus no longer needs the blood supply from the origin site. Once the pedicle is cut, the tissue repair is complete.

- The skin replacement surgery guidelines instruct coders which enable how to correctly report codes that reference measurements of 100 sq. cm or 1 percent of body area of infants and children. to determine the involvement of body size the Recepient site and Location.

the procedures and codes for skin replacement surgery.

Surgical site preparation code range (15002 – 15261)

Recipient site preparation code range (15002 – 15005)

Split thickness and full thickness free skin grafts code range (15100, 15101 and 15120, 15121)

example: A 50-year-old male is admitted to the hospital with a grease burn on his right arm. You excise the burns down to viable subcutaneous tissue and apply a skin substitute graft.

The reportable procedures in this case are as follows:

15002, Surgical preparation, trunk, arms, legs, first 100 sq cm
15273, Skin substitute graft, trunk, arms, legs, first 100 sq cm

Surgical preparation of 100 sq cm wounds of the right arm is reported with code 15002, first 100 sq cm. The application of the first 100 sq cm of skin substitute grafts for total wound surface areas greater than or equal to 100 sq cm is reported with code 15273.

- Excisional breast biopsy requires close collaboration in between the radiologist, surgeon, and pathologist.

. CPT code 19101 (Biopsy of breast; open, incisional)

CPT code 19120 (Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion)

code 19125 (Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion)

Related Questions

Navigate

• Browse (All)
• Browse I
• Subjects

Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.