ED Coding and Reimbursement Alert

Test your coding knowledge. Determine how you would code this situation before looking at the box below for the answer. Question: A patient presented with a partial traumatic amputation of his distal fingertip, and it was determined that the fingertip could not be replanted. A portion of the distal phalanx bone was protruding from the amputation. The physician used a bone rongeur instrument to debride and rounded the bone in order to close the wound over it. Should I report a debridement or an amputation code?  Vermont Subscriber   Answer: You should not report the code for amputation of finger/phalanx, 26951. Most of the amputation occurred before the patient arrived at the hospital, and your physician just cleaned up the amputation. Though the code bundles the closure, it doesn’t accurately fit your scenario. This scenario calls for a debridement and a simple closure code instead. Report the debridement as 11044 (Debridement; skin, subcutaneous tissue, muscle, and bone) because your physician definitely debrided not only the skin but also the muscle and bone. He then also closed the defect, so you should add a simple laceration code from the 1200x series to cover the extra work of the closure. In this case, use 12002* (Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities [including hands and feet]; 2.6 cm to 7.5 cm). The debridement-plus-closure code assignment is very safe from a coding perspective, but reporting a single, appropriate code might increase payment advantages. Depending on documentation, consider using the complex laceration code 13132 (Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm).