tci ED Coding & Reimbursement Alert - 2014 Issue 12

You Be the Coder: Nail Down the Correct Code: Laceration Repair or Nail Bed Repair?

Question: What codes would your assign for the following chart note? Wound Repair of 1cm (0.4 in) involving nail bed laceration to dorsal aspect of distal phalanx of left middle finger. It is irregularly shaped. Skin/tissue flap noted. Distal neuro/vascular/tendon intact. Anesthesia: Digital block administered with 4 mls of 1% lidocaine. Wound prep: Moderate cleansing with Betadine, Wound explored moderately, Copious irrigation. Subungal hematoma is drained. Nail avulsed fully and removed. Closed with 8 5-0 chromic and nail bed repaired, nail reattached and tacked down with 2) 5-0 vicryl sutures. Dressed with Bacitracin, tube gauze. (See answer to...

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