janyhopkins
Contributor
Op report
After adequate anesthesia, legs were prepped with betadine, draped in a sterile fashion. The left thigh laceration was measured 27 cm in length and it arched over from the distal anterior thigh lateral across the knee joint and then inferior. There was a stated degloving and undermining of the skin over the knee. There was no fascial injury. This area was copiously irrigated with a liter of saline and then the skin was closed with running 2-0 nylon sutures over a 19-French Jackson-Pratt drain. Drain was brought out and sewn in place with a 2-0 silk. The laceration measured 27 cm. The right anterior tibial laceration measured 3 cm and then there was a puncture wound, which was controlled with interrupted 3-0 nylon stitches. This was irrigated out initially and the two areas connected just anterior to the tibia.
The right thigh laceration was extensive and included a laceration of the lateral aspect of the quadriceps fascia with bulging muscle. This are was copiously irrigated with a liter of warm saline. The fascia was reapproximated with a running 9 Vicryl stitch, returning the muscle belly underneath the fascia. This measured 20 cm. The skin laceration was then repaired, measured 24 cm and again there was some undermining of the skin. A drain was placed, brought out inferiorly, and sewn in place with a 2-0 silk. the skin was then closed with running 3-0 nylon. Mepliex dressings were applied and Ace bandages were applied, and drains were placed to suction. The patient tolerated the procedure well and was taken to recovery room in stable condition.
I choose codes 12002, 13121, and 13122 x 9. Can someone tell me if this is correct and if it's not what would be the correct choice.
Thank you
After adequate anesthesia, legs were prepped with betadine, draped in a sterile fashion. The left thigh laceration was measured 27 cm in length and it arched over from the distal anterior thigh lateral across the knee joint and then inferior. There was a stated degloving and undermining of the skin over the knee. There was no fascial injury. This area was copiously irrigated with a liter of saline and then the skin was closed with running 2-0 nylon sutures over a 19-French Jackson-Pratt drain. Drain was brought out and sewn in place with a 2-0 silk. The laceration measured 27 cm. The right anterior tibial laceration measured 3 cm and then there was a puncture wound, which was controlled with interrupted 3-0 nylon stitches. This was irrigated out initially and the two areas connected just anterior to the tibia.
The right thigh laceration was extensive and included a laceration of the lateral aspect of the quadriceps fascia with bulging muscle. This are was copiously irrigated with a liter of warm saline. The fascia was reapproximated with a running 9 Vicryl stitch, returning the muscle belly underneath the fascia. This measured 20 cm. The skin laceration was then repaired, measured 24 cm and again there was some undermining of the skin. A drain was placed, brought out inferiorly, and sewn in place with a 2-0 silk. the skin was then closed with running 3-0 nylon. Mepliex dressings were applied and Ace bandages were applied, and drains were placed to suction. The patient tolerated the procedure well and was taken to recovery room in stable condition.
I choose codes 12002, 13121, and 13122 x 9. Can someone tell me if this is correct and if it's not what would be the correct choice.
Thank you