Volume 3‚ Issue 2‚ March 2009 © Diabetes Technology Society Journal of Diabetes Science and Technology REVIEW ARTICLE Maggot Therapy Takes Us Back to the Future of Wound Care: New and Improved Maggot Therapy for the 21st Century Ronald A. Sherman‚ M.D.‚ M.Sc.‚ D.T.M.H. Abstract In the 21st century‚ eighty years after William Baer presented his groundbreaking work treating bone and soft tissue infections with live maggots‚ thousands of therapists around the globe have rediscovered the
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Answer the Following Questions: 1. Q) What is the code range used to report debridement associated with open fracture? ANSWER: 11010-11012 2. Q) Name three methods of skin tag removal. ANSWER: scissors‚ scalpel‚ tweezers 3. Q) Describe a keratosis. ANSWER: It is a callus or horny growth 4. Q) Is it necessary to use modifier -51 for nail treatment codes? Explain. ANSWER: The nail treatment codes do not require the use of modifier -51 because the codes indicate the number
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Pediatric hip dislocations are a rare event that carry significant risks for long term disability if managed inappropriately. Often a low energy mechanism is seen in children younger than 10‚ while a higher energy mechanism is typically seen in adolescents as bone and soft tissue structures become more rigid. Ideally‚ Closed reduction should take place within six hours to limit the risk of osteonecrosis1. Post reduction x-rays should be carefully scrutinized to evaluate joint space asymmetry. Any
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periosteal stripping and exposure of bone‚ massive contamination‚ and severe comminution of the fracture. After debridement and irrigation a local or free flap is needed for coverage. • III C – Any open fracture that is associated with an arterial injury that must be repaired‚ regardless of the degree of soft tissue injury. The definitive grade should be assigned in theatre after thorough debridement. The risk of infection in an open fracture depends on the
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soldier‚ watches one of his most exhausting day during the initial push in Iraq‚ sitting in a specially designed chair and talking with his therapist. VR helps him overcome his nightmares about road rage. Another example‚ displaying how it works for debridement‚ is a patient distracted from
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PERIODONTAL DISEASE AND DIABETES MELLITUS The relationship between diabetes mellitus and periodontal disease has been extensively examined. It is clear from epidemiologic research that diabetes increases Periodontal Medicine • CHAPTER 13 237 the risk for and severity of periodontal diseases.59 The biologic mechanisms through which diabetes influences the periodontium are discussed in Chapter 12. The increased prevalence and severity of periodontitis commonly seen in patients with diabetes
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DOI: 1/20/2015. Patient is a 39-year-old male mason tender/laborer who sustained multiple injuries to his left elbow‚ low back and left leg while standing on the scaffold plank‚ when it broke and he fell. He is status post debridement of the left elbow lateral epicondylitis with V-Y tendon lengthening on 12/08/15. Per the PT note dated 01/28/16‚ the patient has attended 9 visits for his left elbow. Patient has noted improvement with left elbow mobility and range of motion (ROM)‚ but still has weakness
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vitro and in vivo models have been developed to study the role of biofilms in non-healing wounds. Basic science and clinical studies suggest that effective eradication of pathogenic biofilms requires multimodality strategies including serial debridement‚ systemic antibiotics and biofilm-based wound care. More recently‚ novel strategies targeting molecular signaling pathways and immunotherapy have developed for biofilm eradication. As researchers continue to elucidate critical host-bacteria
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Diagnosis 892.1 Infected dog bite 041.10 Staph infection E906.0 External cause: dog bite Principal Procedure 86.22 Wound debridement‚ foot Total Charges $6‚245.10 DRG: 0572‚ SKIN DEBRIDEMENT W/O CC/MCC DRG Wt. 01.0077____ Full Update Hospital Reimbursement___$5‚064.79__________ Reduced Update Hospital Reimbursement__$4‚762.49___________ Medicare Assigned DRG : 0572‚ SKIN DEBRIDEMENT W/O CC/MCC MDC : 09‚ DRG Weight = 01.0077‚ GLOS = 003.8‚ ALOS = 004.6 Estimated Medicare Reimbursement = $5‚411.63 Grouper
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Part A 1. Discuss two differences between inpatient and outpatient coding. Outpatient coding is much less complicated than inpatient coding. First‚ outpatient coding is limited to a length of stay less than 24 hours whereas inpatient stays are longer due to the intensity of services. Second‚ for outpatient services‚ physicians are paid using CPT/HCPCS codes‚ whereas‚ hospitals are paid for their hospitality using a complex formula (MS-DRG) because of housing‚ feeding and nurturing the patient
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