WHAT ARE THE ICD-10-CM AND CPT CODE?? Scenario 3 PREOPERATIVE DIAGNOSIS: Left upper extremity amputation. POSTOPERATIVE

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WHAT ARE THE ICD-10-CM AND CPT CODE??
Scenario 3 PREOPERATIVE DIAGNOSIS: Left upper extremity
amputation. POSTOPERATIVE DIAGNOSIS: Left upper extremity
amputation. PROCEDURES: 1. Left abdominal flap 5 x 5 cm to left
forearm. 2. Debridement of skin, subcutaneous tissue, muscle, and
bone. 3. Closure of wounds, simple closure approximately 8 cm. 4.
Placement of VAC negative pressure wound dressing. INDICATIONS:
This 3-year-old male suffered amputation of his left upper
extremity with complications of injury. He presents at this time
for further attempts at closure. OPERATIVE FINDINGS: A clean wound
to left upper extremity with partial dehiscence of previously
closed wounds and the closure was satisfactory. DESCRIPTION OF
PROCEDURE: Under inhalational anesthesia, he was prepped and draped
in usual fashion exposing left upper extremity and exposing
continuity of the left abdomen, chest, and groin. He underwent
systematic evaluation of his wound of his left upper extremity, and
we excised first the whole wound prior to doing some additional
closure. Some areas were dehisced and appeared to be because it was
approximation of granulation tissue and as a result the edges were
freshened up prior to approximating them. In this fashion, simple
closure was accomplished, and its total length was approximately 8
cm. It should be noted that prior to doing any procedure that
appropriate timeout was performed, and he received prophylactic
antibiotics as indicated and did not require DVT prophylaxis. At
this time, once we accomplished debridement and simple closure
removing skin, subcutaneous tissue, muscle, and bone as well as
closing the arm, we could design our flap for the abdomen. The flap
was designed as a slightly greater than 1:1 ellipse of skin from
just below the costal margin. This was elevated at the level of the
external oblique and then laid on the left forearm. The donor's
site was closed using interrupted 4-0 Vicryl in the deep dermis and
running subcuticular 4-0 Monocryl on the skin. Steri-Strips were
applied. At this time, the flap was inset using again 4-0 Monocryl
sutures and then ultimately the VAC negative pressure wound
dressing was applied to help hold this in place and optimize the
vascularization of the flap. The patient tolerated the procedure
well and he returned to the recovery room in satisfactory
condition