[Verified Answer]: Case 10 Preoperative Diagnosis: Chronic…

Case 10 Preoperative Diagnosis: Chronic osteomyelitis, left second toe. Postoperative Diagnosis: Chronic osteomyelitis, left second toe. Operation Performed: Amputation of distal phalanx, left second toe. Anesthesia: Local with sedation Procedure: In the supine position, the left foot was prepped with Betadine scrub and was washed and draped in a sterile fashion; 0.5% Xylocaine with 0.5% Marcaine was infiltrated in the dermis of the left second toe, approximately 6 cc was used. A posterior flap incision was made through the dermis and subcutaneous fat down to bone circumferentially. The bone was cut at the DIP joint with bone cutters, and the articular surface of the proximal phalanx was debrided with rongeurs. Bleeding was good at the tissue level, and the tissue appeared quite viable. No purulent material was seen and good healthy bone remained. The area was cauterized in several places and closed with interrupted 4-0 nylon suture; 1⁄4-inch Steri-strips with benzoin were also applied, and sterile dressing was placed. The patient was taken to the recovery room in good condition. Estimated blood loss approximately 2 cc. Needle and sponge counts correct times two. ICD-10-CM Code: CPT Code: