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Depths of debridement

Deaconess Posted Mon 31st of October, 2016 16:37:09 PM
can you clarify coding depths of debridement? As coders, we were told that if it said "debrided TO the bone", we would code 11043, debridment of muscle/fascia because the provider stated TO the bone, not including the bone. The provider is stating that the way he learned to document debridements is to state "TO the ____", that meant he also debrided that level.
SuperCoder Answered Tue 01st of November, 2016 04:47:52 AM

As per coding guidelines wound debridement are reported by depth of tissue that is removed and by surface area of the wound.

 When performing debridement of a single wound, report depth using the deepest level of tissue removed. In multiple wounds, sum the surface area of those wounds that are at the same depth, but do not combine sums from different depths.

CPT code of debridement are depends upon documentation of procedure provided.  If the physician removes only subcutaneous tissue,  report CPT code 11042 for the first 20 sq cm and 11045 for each additional 20 sq cm. So if the physician documents removal of 65 sq cm of subcutaneous tissue, coders would report 11042 and 11045x3.

For debridement of muscle or fascia,  report 11043 for the first 20 sq cm and 11046 for every additional 20 sq cm. If the physician debrides a wound down to the bone, report 11044 for the first 20 sq cm and 11047 for each additional 20 sq cm. 

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