this 32-year old female was burned by hot grease in her kitchen 1 week ago. She is seen in the hospital-based wound clinic for large dressing changes on both upper extremities following second-degree burns to both arms. This is accomplished without requiring anesthesia.


I got 834.0,77644

1 v code, 1 diagnosis code, 1 cpt code

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To determine the appropriate codes for this patient's case, let's break it down step by step.

1. V Code: V codes are ICD-10 codes used for encounters that are not related to a current illness or injury. In this case, since the patient is being seen for large dressing changes related to burns, we don't need a V code.

2. Diagnosis Code: The diagnosis code should indicate the reason for the visit or the condition being treated. In this case, the patient has second-degree burns on both arms. The appropriate ICD-10 code for second-degree burns is T23.201A for the initial encounter. Since the patient is being seen one week after the burn, we can use T23.201A as the diagnosis code.

3. CPT Code: The CPT code describes the specific services or procedures performed during the visit. Since the patient is undergoing large dressing changes on both upper extremities, we need a CPT code that represents this procedure. The appropriate CPT code for dressing changes is 97605 (Dressing change(s) (for a burn) under anesthesia (eg, wet-to-dry dressings, enzymatic, abrasion), initial encounter).

Based on the information provided, the recommended codes are:
- Diagnosis Code: T23.201A (Second-degree burn of right hand, initial encounter)
- CPT Code: 97605 (Initial encounter dressing change for burn under anesthesia)

Please note that ICD-10 codes may vary depending on the level of specificity required by the healthcare provider. It's always best to consult the official ICD-10-CM code set and the healthcare provider's documentation for accurate coding.