AHA Coding Clinic® for ICD-9 - 2005 Issue 1; Ask the Editor

Debridement of Amputation Site

A patient with history of amputation of the right 2nd, 3rd and 4th toes was admitted with ascending cellulitis and infection of the amputation site. Progress notes indicate a sharp scalpel debridement of necrotic skin and tissue at the amputation site was performed at bedside on the third day of hospitalization. On day six of the hospitalization, the documentation shows a minor nonexcisional debridement was performed. What are the diagnosis and procedure code assignments for this admission? Coding Clinic, Second Quarter 1998, page 15, seems to indicate that code 84.3, Revision of amputation stump, is appropriate for the debridement. ...

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