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

Revision of Complex Cranial Wound

The patient, a 51-year-old female, had undergone internal carotid artery clipping four years ago and recently had removal of an infected cranial bone flap 12 weeks ago. She presents with external dehiscence in the inferior portion of her wound and was admitted for revision of complex cranial wound. During the surgery the previous cranial incision was reopened, a large collection of sunken temporalis muscle near the zygoma was resected, the dural patch that had been left in was removed, and the wound was closed in layers. How should this be coded? ...

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