Kathy Posted Tue 12th of December, 2017 18:19:12 PM
My surgeon performed an excision of a decubitus ulcer , down to the bone & removed the FLOATING coccyx.
My thought was 15933, exc of decub w/ ostectomy, but this includes closing the wound, which he left open, for potential additional debridements.
What do you recommend?
SuperCoder Answered Wed 13th of December, 2017 06:09:22 AM
As per the presented documentation, appropriate code would be 11044 (Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq. cm or less); as the decubitus ulcer was excised down to the level of bone.
For each additional 20 sq. cm, use CPT code 11047.
NOTE: If the surgeon leaves the wound open following pressure ulcer treatment, claim a debridement (11044) rather than excision. The surgeon may choose to leave the wound open to remove necrotic material or even, for small wounds, to heal by secondary intention. The surgeon will probably perform a number of debridement’s over time as the wound heals.