Patient had a BKA and returned to the operating room for stump site irrigation, debridement and secondary closure. The physician dictated the following:

"…Then, debridement of the soft tissues were carried out along with the skin. The fibula was also excised about a centimeter proximal to the tibial cut and tibial cut was beveled.

I’d like to use 27884 and 11044 but can’t because of column 2/1 misuse edits.

Any suggestions on how to code this so the physician is paid for the secondary closure, irrigation and, specifically, the further excision of bone…

Thank You – Melissa