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28 terms

DEBRIDEMENT

The removal of infected, contaminated, damaged, devitalized, necrotic, or foreign tissue from a wound

THE GOAL OF DEBRIDEMENT

Is to cleanse the woundm reduce bacterial contaminationm and provide an optimal enviroment for wound healing or possible surgical intervention

THE USUAL ENDPOINT OF DEBRIDEMENT

Is removal of pathological tissue and/ or foreign material until healthy tissue is exposed

DEBRIDEMENT TECHNIQUES

Include sharp and blunt dissection, curettement, scrubbing, and forceful irrigation.

DEBRIDEMENT OF BURNED SURFACES

CPT CODES OF 16000-16036 ARE REPORTED

types of treatment for lesions

include paring(peeling or scraping), shaving(slicing) excision( cutting, removal) and destruction ( ablation)

Macule

flat area of color change; no elevation or depression

Papule

solid elevation; less than 0.5 cm in diameter

Nodule

solid elevation 0.5-1 cm in diameter; extends deeper into dermis than papule

Tumor

solid mass; larger than 1cm

Plaque

Flat elevated surface foung where papules, nodules, or tumors cluster

Wheal

Type of plaque; result is transient edema in dermis

Vescle

small blister; greater than 0.5 cm

Scales

Flakes of cornified skin layer

Crust

Dried exudate on skin

Fissure

Cracks in skin

Erosion

Loss of epodermis that does not extend into dermis

Ulcer

Area of destruction of entire epidermis

Scar

Excess collagen production following area

Atrophy

Loss of some portion of the skin

IF MULTIPLE LESIONS ARE TREATED

Code the MOST COMPLEX LESION (highest $ amount) PROCEDURE FIRST FOLLOWED BY THE OTHERS USING MODIFIER -51 to indicate that multiple procedures were performed

Simple excision

is a full thickness (through the dermis) excision

Simple closure

is nonlayered closure

Paring of 3 common warts

CPT code: 11056 ( lesin, skin, paring/curettement); ICD-9 code: 078.19 (wart, common)

Removal of 15 skin tags

CPT code:11200 ( lesion, skin tags, removal) ICD-9 code: 701.9 (tag, skin)

shaving of 1-cm dermal lesion of face

CPT code: 11311 (lesion, skin, shaving) ICD-9 709.9 (lesion, dermal)

Reporting wound repair

following factors must be considered:
1.Length of the wound in cm
2.Complexity of the repair
3.Site of the wound

3 types of repai

1.Simple
2.Intermediate
3.Complex

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