Re: Procedure help

[Guest guest]

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.

> > >

> >

> >

> > __________________________________________________

> >