medical billing and coding 2

posted by Anonymous

This is a 42 yr old male who accidentally injured his left index finger while working on a broken shutter at home in his garage, the patient sustained a jagged laceration over the dorsal radial aspect of the index finger at the proximal interphalangeal joint, the wound was deep involving the joint capsule, extensor tendon and collateral ligament, the bone was also involved, especially at the base of the middle phalanx into the apical surface.

Procedure: Marcaine was used a local anesthetic digital block, the hand was prepped and draped in the usual manner, tourniquet than was placed at the base ofthe fingers, the wound was then debrided , the minute loose bone and articular surface had to be removed, some skin debrided aslo was removed, the joint capsule and extensor tendon then were repaired with 5-0PDS suture material, the radial collateral ligament also was repaired with same suture material, the skin then was carefully approximated with 5-0 nylon. dressing was applied, the tourniquet was released and there was good perfusion throughout the fingers, an aluminum splint was placed, Assign the correct codes and modifier for this encounter

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