Virginia Lydigsen asked:
Reopening craniotomy incision with wound debridement and removal of bone cement mesh; complex wound closure.
I was thinking of 62142 removal of bone flap but does not seem to include removal of mesh.
Also; 61567 craniotomy with treatment of penetrating wound of brain (for wound infection?)
Duragen placed over exposed brain.
Dx- wound infection. Not sure on ICD-10 code. Cranioplasty listed on 12/19/2014. Was thinking T81.4XXA wound following a procedure but do not have actual date. Or S01.00XA unspecified open wound of scalp.
Answer:
Reopening craniotomy incision with wound debridement and removal of bone cement mesh; complex wound closure.
I was thinking of 62142 removal of bone flap but does not seem to include removal of mesh. **_The first thing I would find out is if the mesh is a regular part of the original procedure. Do they always put in this mesh? If so then it is most likely included in the removal code. _**
Also; 61567 craniotomy with treatment of penetrating wound of brain (for wound infection?) **_This also sounds like a result of a complication and or sequela. _**
Duragen placed over exposed brain. _**Duragen is a type of collagen graft that is placed to give stability in neurosurgery. Look for a HCPCS code. **_
Dx- wound infection. Not sure on ICD-10 code. Cranioplasty listed on 12/19/2014. Was thinking T81.4XXA wound following a procedure but do not have actual date. Or S01.00XA unspecified open wound of scalp. _**Can be tricky here. You have an infection which is a complication it sounds like. I think you need more information. There is no indication of where the infection came from? No HPI ect? Is this a straight op report? If you have the report and can redact it that would be really helpful.**_
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Reopening craniotomy incision with wound debridement and removal of bone cement mesh; complex wound closure.
I was thinking of 62142 removal of bone flap but does not seem to include removal of mesh.
Also; 61567 craniotomy with treatment of penetrating wound of brain (for wound infection?)
Duragen placed over exposed brain.
Dx- wound infection. Not sure on ICD-10 code. Cranioplasty listed on 12/19/2014. Was thinking T81.4XXA wound following a procedure but do not have actual date. Or S01.00XA unspecified open wound of scalp.
Answer:
Reopening craniotomy incision with wound debridement and removal of bone cement mesh; complex wound closure.
I was thinking of 62142 removal of bone flap but does not seem to include removal of mesh. **_The first thing I would find out is if the mesh is a regular part of the original procedure. Do they always put in this mesh? If so then it is most likely included in the removal code. _**
Also; 61567 craniotomy with treatment of penetrating wound of brain (for wound infection?) **_This also sounds like a result of a complication and or sequela. _**
Duragen placed over exposed brain. _**Duragen is a type of collagen graft that is placed to give stability in neurosurgery. Look for a HCPCS code. **_
Dx- wound infection. Not sure on ICD-10 code. Cranioplasty listed on 12/19/2014. Was thinking T81.4XXA wound following a procedure but do not have actual date. Or S01.00XA unspecified open wound of scalp. _**Can be tricky here. You have an infection which is a complication it sounds like. I think you need more information. There is no indication of where the infection came from? No HPI ect? Is this a straight op report? If you have the report and can redact it that would be really helpful.**_
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