AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 3; Ask the Editor

Debridement of Bone and Tendon Using Tenex Ultrasound Device

A 62-year-old male with a long history of left heel spur pain and Achilles tendonitis presents for debridement of bone and tendon using the Tenex ultrasound device. A small incision on the posterolateral aspect of the retrocalcaneal heel spur was made and blunt dissection was carried down to the level of the spur. Under direct visualization extensive debridement was performed using a Tenex device and removing all the hypertrophic and inflamed tissue and bone. An additional incision was made and further debridement using the Tenex device was performed on bone. We consider debridement using the Tenex device as nonexcisional debridement. However, we are unable to find codes under the root operation “extraction” in the lower body bones or tendon tables. How should we report the debridement procedures? ...

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