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burn care

Regina Posted Fri 13th of April, 2012 11:37:48 AM

Partial thickness burns to anterior abdomen and anterior right thigh. 0.5% TBSA on right lower abdomen, 5% TBSA on right thigh.

Second degree burn of right thigh
Second degree burn of abdominal

Note reads: Duoderm dressing placed over small abdominal wound. Bacitracin ointment, nonadherent dressings, then 4x4s placed over thigh wound after excess skin debrided and wounds gently cleansed.

Would 16030 be correct code in this case?

SuperCoder Answered Fri 13th of April, 2012 11:44:53 AM

Use CPT 16025 because it is 5 to 10% of TBSA.

SuperCoder Answered Fri 13th of April, 2012 11:51:45 AM

CPT Asst 2008 says:

Surgery/Integumentary System, 16025, 16030 (Q&A)

Question: If the physician changes dressings on two medium wounds on separate extremities on a burn patient, should code 16025, Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area), be reported twice?

Answer: No. Only one code would be reported, code 16030, Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than one extremity, or greater than 10% total body surface area). The codes in this series are to be used as a cumulative single code for each encounter to dress or debride burn wounds. Only one code in this series would be selected to represent the total service performed on that date. Presumably the two wounds that are medium (ie, 5-10%) when combined exceed 10% of body surface area. If not, code 16025 would be reported once.

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If you have still doubt, let me know to clarify.

Regina Posted Fri 13th of April, 2012 13:28:21 PM

Thanks for your help.

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