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Preparation of Surgical Site For Skin Substitute Grafts

Chris Posted Thu 03rd of October, 2019 16:03:53 PM
Hello, If the chart indicates a patient is in wound care for a Skin Graft Replacement procedure, the doctor documents (usually a separate paragraph or separate report that he/she did a debridement down to and including sub-Q tissue removing all devitalized tissue prior to the graft. Can we code the Preparation of Surgical Site 15002-15005 along with the skin graft replacement code? In a webinar we attended earlier this year, they said you can and the preparation for the graft is often easily mistaken for a debridement because that's what the doctors usually call it. And if that is correct, can this only be used on the initial visit? What is the graft failed and they do it all over again? Thank you
SuperCoder Answered Fri 04th of October, 2019 06:26:47 AM

Hi Chris

 

Thanks for your question.

 

As your doctor has performed debridement and removal of devitalized tissue from the wound, it should be considered as surgical preparation or creation of recipient site. So codes 15002-15005 should be reported separately.

 

Please feel free to write if you have any question.

 

Thanks

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