Ask Dr. Z

Would this be 27884 or 13160 or other recommendation? I’m thinking 27884. 

"After prepping and draping, the previous VAC dressing was removed and the wound was felt to be stable and healthy-appearing there is no purulence material or necrotic areas and no significant areas of focal bleeding. The deep soleus muscle was debrided to allow debulking of the muscular layer and the gastrocnemius was mobilized to allow my releases to the tibia. Two drill holes were placed in the anterior tibial crest and a FiberWire suture was then used to go through the tibial bone tunnels to capture the fascia and tendon of the gastrocnemius to pull it up anteriorly after extensive irrigation of the muscle bellies and wound. He my recess was able to be closed without significant tension. Once this was closed the fascial layers were then closed using a 2. Strata fix suture followed by 0 strata fix and subcutaneous layer and 2 0 nylon in the skin. A sterile Prevena VAC dressing was then placed across the closed wound."