Posted on 14. Aug, 2009 by in Sew Up Laceration Repair Coding With These 8 Elements Unless you want to grapple with denials, the procedure notes that support your physicians’ laceration repair claims should contain these 8 elements. How do the physicians in your practice measure up?. location.
Simple Interrupted Suture
length AUDIO EXTRA: Secrets to optimal reimbursement for lesion excision, repair. layers. decontamination (including foreign material removed). tissue management. exploration of wound and contiguous structures.
Example Laceration Procedure Note
Laceration procedure note - Is evacuation of a head laceration scalp hematoma a surgical procedure? Technically yes. It is not a huge procedure as it is. Lesson 6 — How to Document Procedures. Laceration (Procedure note) • A&P: Wound sutured – See Procedure Note. • Use the Procedure Note to Guide You. Vanderbilt University Medical Center Division of Trauma. To describe the criteria and procedure for repair of lacerations as a. Write procedure note in.
anesthesia technique. repair of underlying structures. Example: A good procedure note for a simple scalp repair might read: “After cleansing with betadine, repaired single-layer scalp wound, 8.4 cm, with 14 4-0 prolene sutures under local anesthesia.
No foreign material removed; no repair of underlying structures or tissue management required. Wound and surrounding structures.