Question: Our patient was referred for care of an abdominal surgical wound that dehisced and became infected with methicillin resistant Staphylococcus? Should we list a V58.3 code?
-- Vermont Subscriber
Answer: Definitely do not use a V58.3 (Attention to dressings and sutures) code for this complicated wound!
To code for a disruption of a surgical wound,list 998.31 (Disruption of internal operation [surgical] wound) if the disruption is internal or 998.32 (Disruption of external [surgical] operation wound) if the wound disruption is external.
Follow the complication code with the code for MRSA Staphylococcus, 041.12 (Methicillin resistant Staphylococcus aureus).