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AHA Coding Clinic® for ICD-9 - 2000 Fourth Quarter; NEW/REVISED PROCEDURE CODES

Escharotomy

Prior to October 1, 2000, escharotomy was indexed to 86.22, Excisional debridement of wound, infection or burn. This code assignment has been re-evaluated and escharotomy has been re-indexed to code 86.09, Other incision of skin and subcutaneous tissue. Eschar is the slough or scab of devitalized wound tissue produced by heat or chemical insult. When circumferential full thickness burns involving the extremities or chest are present, escharotomy may be necessary. If edema forms in an injured extremity the eschar restricts the outward expansion of tissue. As a result of this tourniquet-like restriction, interstitial pressure rises to the...

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