Re: Procedure help

[Guest guest]

Thank you so much. I really appreciate this.

Aliceanne

On Wed, 14 Nov 2001 19:16:44 -0800 (PST) Susie Reeves

writes:

> Alice

> This is a site for ICD-9 diagnosis codes

>

> http://icd9cm.chrisendres.com/index.html

>

> Susie

> --- Alice A Sawyer wrote:

> > She gave them to me because I had no way of finding

> > out what the doctor

> > was saying. The chart was not in the office and

> > neither was the doctor.

> > So, I knew she kept the codes on each patient billed

> > so I thought I might

> > find Slant Back procedure there. I had no idea what

> > she was saying. And I

> > still can't reference it. I looked in every

> > reference and on line that I

> > could get my hands on. I asked her for any procedure

> > or ICD-9 codes

> > thinking I might find it. Problem is once I got the

> > codes I could not

> > find an online site to see if I could get any help

> > there. I finally

> > called doctor at home.

> > Thanks.

> > Aliceanne

> > On Wed, 14 Nov 2001 18:46:13 -0800 (PST) Susie

> > Reeves

> > writes:

> > > Alice,

> > > Those are ICD-9-CM codes.

> > > Dx codes:

> > > 250.61 Diabetes with neurological

> > manifestations-type

> > > I

> > > 703.61 Ingrown nail (Diabetes related)

> > > 707.15 Ulcer, other part of foot, toes

> > > 110.0 Dermatophytosis, Includes: infection by

> > species

> > > of Epidermophyton, Microsporum, and Trichophyton

> > > tinea (This is of the scalp, they should have

> > coded it

> > > 110.4 which is for Dermaophytosis of the foot)

> > > Procedures

> > > 117.21 Debridement of nail (six or more)

> > > 110.40 Debridement of skin

> > >

> > > Unless you do billing also I don't know why they

> > gave

> > > you the codes. That isn't helpful for the word

> > you

> > > are looking for. Anyway this is a long way to

> > telling

> > > you that the word you are looking for is Distal

> > > slantback procedure.

> > >

> > > Susie

> > >

> > >

> > >

> > > --- Alice A Sawyer wrote:

> > > > Doctor is dictating what sounds like Distal

> > > > slantduck procedure. I called

> > > > the office and they gave me the following codes

> > > > which I can't find a site

> > > > to research for. Any help appreciated.

> > > > PROCEDURE CODE GIVEN ME: 117.21 AND 110.40

> > > > DX CODES: 250.61, 703.61, 707.15, 110.0

> > > > Pt. reports severe pain upon palpation of left

> > 1st

> > > > digit. Pt. reports

> > > > that both sides of the toe nail are painful to

> > > > touch. There is a rubor

> > > > discoloration noted, all digits distally, with

> > an

> > > > increased redness noted

> > > > at the distal aspect of the left 1st digit.

> > There is

> > > > POP, bilateral

> > > > borders, left 1st digit. There is no exudate

> > upon

> > > > palpation and there is

> > > > distal onychocryptosis. There is also a lesion

> > noted

> > > > at the lateral

> > > > aspect of the second toe, distally, apparently

> > due

> > > > to a laceration from

> > > > the 3rd digit toenail. There is a superficial

> > > > ulcerated area that was

> > > > caused by this laceration. There is no ascending

> > > > cellulitis noted as a

> > > > result.

> > > >

> > > > Thanks, Aliceanne

> > > > A: 1. Onychomycosis with DM PVD.

> > > > 2. Laceration with ulceration, right 2nd digit.

> > > > 3. Onychocryptosis with early paronychia, left

> > 1st

> > > > digit, both borders.

> > > > P: 1. Aseptic onychoreduction x10 OM nails.

> > > > *****2. Distal S/L slant back or duck procedures

> > > > performed, left 1st

> > > > digit, both borders so as to avoid interruption

> > of

> > > > skin to decrease

> > > > chance of complication in this patient.

> > > > 3. SD of laceration/ulceration, right 2nd

> > digit

> > > > to healthier tissue

> > > > with cleansing/ABX/dispersion DSD.

> > > > 4. Home care discussed and reviewed with pt.

> > > > 5. Follow up necessary in 2 weeks to check

> > Rt.

> > > > 2nd digit and Lt 1st

> > > > digit.

> > > >

> > >

> > >

> > > __________________________________________________

> > >