Ring Removal: Best Practices and Documentation

00:01 In summary, here are some tips that you need to watch out for.

00:05 If you see vascular compromise that's cap refill greater than three seconds, then you need to act quickly and possibly refer the patient.

00:14 You want to make sure that you're using plenty of lubricant for the string method.

00:19 You want to avoid excessive force.

00:22 It can just cause additional damage and cause skin integrity issues.

00:27 You also want to use a digital block when it's appropriate.

00:32 You want to make sure that you're not using poor string technique, which would be wrapping the dental floss too loosely or unevenly because the technique won't work. And you also want to make sure that you're using proper ring cutter technique and positioning so that it does not lead to skin injury.

00:51 Depending on whether a digital block field was used or a ring cutter, there relevant ICD ten and CPT codes that need to be used.

01:00 You need to keep in mind modifiers specific to location, HCPCS codes that for all your supplies that were used, CPT primary codes for injections and anesthetic agents that were used.

01:13 If you do a digital block IC10 diagnosis codes specific to the procedure block that was needed for the anatomical location and relevant of pain codes.

01:25 One last note if you're cutting rings, think about the sentimental value they have for the patient. Make sure you have a smooth cut so that the jeweler can then repair them.

01:35 Thank you for watching.