Hello CTVS2019,

I would query the provider for the depth and measurement of the medial fasciotomy exploration and closure. Also, where are you getting the 10X2 measurement?

Here is what I am thinking with the info provided:

*Lateral fasciotomy site: Debridement to the muscle 13X4= 52 sq cm so CPT 11043 & CPT 11046; the closure is included in the debridement code.

*Medial fasciotomy site: Exploration of fasciotomy then closure including deep dermal layer and skin, no measurement given (currently) so CPT 12031-51.

Please see below for the code description of 11043 to see that closure is included:

The physician surgically removes necrotic muscle and/or fascia, including epidermis, dermis, and subcutaneous tissue, if performed. The physician uses the appropriate surgical instrument (i.e., scalpel) to excise the affected tissue into the muscle layer. The dissection is continued until viable, bleeding tissue is encountered. Depending on wound size, closure may be immediate or delayed. The wound may be packed open with gauze and require immediate or delayed reconstruction.

Hope this helps~

M.Hannus, CPC, CPMA, CRC