Emergency Department Record Chief Complaint: Right arm laceration…
Question Answered step-by-step Emergency Department Record Chief Complaint: Right arm laceration… Emergency Department RecordChief Complaint: Right arm lacerationHistory of Present Illness:This 24-year-old man presents here after attempting to punch out a window in his garage door with his elbow in an attempt to enter his own house.Medications: NoneAllergies: KeflexLast Known Tetanus: UnknownReview of Systems: No shoulder pain, no wrist pain. Complains of multiple lacerations of the forearm.Extremities: Right elbow and right forearm reveal multiple lacerations in various lengths from proximal and working distally. Over the area of the olecranon, there is noted to be a 3-cm superficial laceration. There is also noted to be several simple lacerations distally: approximately four measuring 1 cm and three others measuring 2 cm each. There is noted to be a 5-cm laceration involving deeper layers of skin.Procedure: After adequate anesthesia was obtained with local infiltration of all lacerations with 1% lidocaine with epinephrine, the wounds were explored. No foreign bodies were appreciated. Each wound was vigorously irrigated and draped individually in a sterile fashion. Initially, the 3-cm laceration along the area of the olecranon was closed with two interrupted sutures of 4-0 Ethilon. The remaining smaller wounds were closed with simple sutures. The 5-cm laceration required closing with 3-0 Vicryl for the subcutaneous layer and 4-0 Vicryl to close the skin. Wound edges were painted with Benzoin and Steri-Strips applied. The patient tolerated the procedure well.Assign only CPT surgical codes (no E/M codes) and append any applicable modifiers.***This question requires 2 codes. Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
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