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23 Cards in this Set

  • Front
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Carbuncles and furuncles are typically caused
by staph infections

Although they can be found all over the body, they are typically found on the neck

The fourth digit will specify the location of the furuncle or carbuncle
Cellulitis
bacterial infection in the deeper subcutaneous layer of the skin. Cellulitis and abscess of the skin are coded using Categories 681 and 682.

If the organism causing the infection is known, it should be reported as an additional ICD-9-CM code
Atopic dermatitis is also referred to as
eczema
appearing as dandruff in adults
Seborrheic dermatitis
most common forms of erythema
Rosacea
Superficial injuries
injuries occurring to the outer layers of the skin. This includes abrasions, blisters, insect bites, and splinters.

Do not code these when there is a more serious injury to the same site.
TBSA stands for
Total Body Surface Area
Dysplasia
abnormal tissue
considered complicated
The mention of the placement of a drain, gauze strip packing, the presence of infection, hemorrhaging that requires ligation to stop the bleeding, or extensive time involved in treating the lesion would be considered complicated.
Hyperkertotic
corn or a callus
Biopsy category
Code 11100 is for biopsy, single lesion and 11101 is for each separate/additional lesion. If you did a biopsy on three lesions you would code 11100 and 11101 x 2.
if the wound is repaired using a butterfly bandage
a repair code wouldn’t be reported. You would report an evaluation and management code

Medicare allows the use of HCPCS Level II code G016
8 for wound closure with tissue adhesive.
instructions for coding wound repairs
The repaired wounds should be measured and recorded in centimeters. 2) The length of wounds are
added together by complexity and anatomic classification.

e.g. if there is a 2.5 cm wound on the scalp and a 3.5 cm wound on the neck and each require simple repair, you would add the measurement of the two wounds together and report 12002.

However, you wouldn’t add lengths of repairs from different classification and/or anatomic classifications.
three things that are considered components of wound repair:
ligation, exploration, and
debridement. Simple ligation of small vessels is considered part of the wound repair as well as
simple exploration of surrounding tissue, nerves, vessels, and tendons. Norma
l debridement
is also included and not listed separately. If the wound is grossly contaminated and requires extensive debridement, a separate debridement procedure may be coded. These are codes 11042-11047.
types of adjacent tissue transfers
Z-plasty, W-plasty, V-Y plasty, rotation flaps, and advancement flaps
Free skin grafts are
pieces of skin that are completely freed from the donor site and placed over the recipient site.

They are either spilt thickness or full thickness are reported by recipient site, size of the defect, and type of repair.
A pinch graft
small spilt-thickness repair and reported with 15050. You might want to make a note that 15050 is measured in centimeters while all the other codes in this section are measured in square centimeters.
allografts
taken from a human donor and can be dermal or epidermal.
Xenografts
grafts taken from a different species, such as pigskin grafts
cervicoplasty
surgical removal of excess skin from the neck
escharotomy
An escharotomy is a procedure where the physician cuts through the dead skin that covers the surface when there is full-thickness burn. The crust diminishes blood flow and healing. Code 16035 is the initial incision and 16036 is for each additional incision.
Mohs Micrographic Surgery
surgery technique used for the removal of complex or ill-defined skin cancer. A single physician
Borrow's graft
adjacent tissue graft