Wiki Anterior Tibialis tendon debridement

[CRC CPC]

I'm hoping someone could help. I can not find a code for debridement of tibial tendon. Would I use 11043? I'm having one of those days

PROCEDURE:
Extensive debridement and irrigation of anterior tibialis tendon
with application of a wound VAC.

DESCRIPTION OF PROCEDURE:
Patient was taken to the operating suite under general anesthesia.
Her right lower extremity was prepped with Betadine solution, draped
in a sterile manner. Had a pneumatic tourniquet applied to the
upper thigh and set at 300 mmHg. After prepping and draping the leg
was elevated and tourniquet inflated. Inspection demonstrated an
exposed lacerated anterior tibialis tendon with a brown purulent
drainage exuding from the distal third of the anterior tibia area.
Incision was carried out anterior and posterior in a longitudinal
fashion along the tendon sheath, which was involved with purulent
drainage from its origin proximally to the ankle distally. The
ankle joint did not appear to be involved. There was a second open
area just medial to the midline with purulence. The entire tendon
sheath was opened and debrided of the necrotic tendon. The tendon
sheath was involved in inflammatory tissue and debridement of the...

 

[maryanneheath]

Hi,

At the very least I would consider 11044 to bone because he did mention visualizing the ankle... I am wondering if this was an open fracture or just the tendon laceration. I am also wondering if it might be possible to use one of the repair of tendon codes instead. (maybe 27658) but the whole op report isn't there so not quite sure... Just a suggestion.

 

[CRC CPC]

Thank you Maryanne!