tci General Surgery Coding Alert - 2001 Issue 11

Reader Question: Use I and D Code for Stump Infection Debridement

Question: A patient had bilateral above-the-knee amputations. Two weeks later, he was returned to the operating room because one of the stumps was infected. The wound was opened, and the following services performed: purulent drainage, debridement of necrotic tissue, irrigation of the femur stump, and reapproximation of a portion of the muscle over the end of the stump. The wound was left open, to pack and drain. How should this procedure be coded?Massachusetts Subscriber  Answer: The correct code is 27301 (incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region) appended with Modifier 78 (return...

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