ggparker14
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Need other coder's opinions on CPT. Looking at 26010 for I&D of index finger but unsure about I&D over second dorsal web space.
op note: Small incision was fashioned over the central pointing area over the proximal phalanx centrally of the index finger. There was a small cental core area of necrotic skin of a few millimeters. The patient hade some purulent material that drained and this was sent for culture both aerobic and anaerobic cultures. The patient also had a small area of skin blistering over the second dorsal web space and the area over the long distal long metacarpal. That was incised and that too was noted to have a small amount of purulent material. That was also sent for culture. The skin and subcutaneous tissues were gently elevated and there were easily connected between the index finger wound and the second doral web space wound. The area of the extent of the infection cellulitis extended over the radial aspect of the index metacarpal head and extended over the ulnar aspect fo the long metacarpal head. Please note that the infection was dorsal only and not over the volar aspect of the hand. The index finger skin infection also extended over the ulnar aspect of the proximal phalanx of the index finger. There was minimal necrotic tissue noted along the central portion of the wound. Extensor tendons were noted to be intact. The wound was thoroughly irrigated with antibiotic solution. The wounds were then packed over with quarter inch lodoform. Dry sterile dressing was applied. The patient was placed in a volar splint.
Any help is appreciated.
op note: Small incision was fashioned over the central pointing area over the proximal phalanx centrally of the index finger. There was a small cental core area of necrotic skin of a few millimeters. The patient hade some purulent material that drained and this was sent for culture both aerobic and anaerobic cultures. The patient also had a small area of skin blistering over the second dorsal web space and the area over the long distal long metacarpal. That was incised and that too was noted to have a small amount of purulent material. That was also sent for culture. The skin and subcutaneous tissues were gently elevated and there were easily connected between the index finger wound and the second doral web space wound. The area of the extent of the infection cellulitis extended over the radial aspect of the index metacarpal head and extended over the ulnar aspect fo the long metacarpal head. Please note that the infection was dorsal only and not over the volar aspect of the hand. The index finger skin infection also extended over the ulnar aspect of the proximal phalanx of the index finger. There was minimal necrotic tissue noted along the central portion of the wound. Extensor tendons were noted to be intact. The wound was thoroughly irrigated with antibiotic solution. The wounds were then packed over with quarter inch lodoform. Dry sterile dressing was applied. The patient was placed in a volar splint.
Any help is appreciated.