Urology Coding Alert

Question: The patient had Fournier’s gangrene wounds. After informed consent was signed, the patient was brought to the operating room. General anesthesia was induced. The patient was placed in the dorsal lithotomy position, the wound VAC was removed, and the patient was prepped and draped in the usual sterile fashion. Time-out was performed. The wound measured 12x7 cm and inspection of the wound showed no evidence of necrotic tissue. There was good granulation tissue present in the wound. The procedure began with extensive irrigation of the wound with antibiotic irrigation. A Penrose drain was placed 2 cm superior to the upper limit of the wound and was placed in the bed of the wound. The drain was secured using 2-0 Vicryl sutures in interrupted fashion for the deeper layers and then 2-0 nylon sutures using a combination of horizontal mattress and interrupted sutures to reapproximate the skin. Some areas of the skin needed to be excised to better reapproximate the skin’s edges. The wound was loosely approximated to prevent putting on tension as well as to allow evacuation of fluid buildup or infection if it developed. Which code should I report for this?

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