RE: re-open of craniotomy
Pt. had a skull fracture of some sort with a craniotomy. The area has re-opened. No mention of any complication just routine dressing change per SN. Wound is very small. H&P reads S02.91XS. I am guessing I should use this code with 7th "D" but how do I capture the wound? Seems like it should be a complication but no mention of one.
Thank you!
Lisa
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Thank you!
Lisa
CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. The integrity and security of this message cannot be guaranteed over the Internet.
Comments
If the wound is dehisced superficially per the nurses documentation, you can use T8131xd and the fracture code. If you don't have the reason for dehiscence.