Maarit Posted Wed 09th of May, 2012 20:11:05 PM
Is harvesting the autograft included in the 15100?
Also, what should be documented to justify 15002 for the wound prep? I believe simple debridement is included in 15100.
SuperCoder Answered Wed 09th of May, 2012 20:48:43 PM
Autografts/tissue cultured autografts include the harvest and/or application of an autologous skin graft. Repair of donor site requiring skin graft or local flaps is reported separately. Removal of current graft and/or simple cleansing of the wound is included, when preformed.
Debridement is considered a separate procedure only when gross contamination required prolonged cleansing, when appreciable amounts of devitalized or contaminated tissue are removed, or when debridement is carried out separately without immediate primary closure.
CPT code 15002/15005 are only appropriate to use in "place of service" inpatient hospital, outpatient hospital or ambulatory surgical center with regional or general anesthesia to resurface an area damaged by burns, traumatic injury, or surgery.
Code from 15002-15005 based upon location and size of the resultant defect. For multiple wounds, sum the surface area of all wounds from all anatomic sites that are grouped together into the same code descriptor. For examples, sum the surface area of all wounds on the trunk and arms. Do not sum wounds from different groupings of anatomic sites (eg, face and arms). Use 15002 or 15004, as appropriate, for excisions and incisional releases resulting in wounds up to and including 100 sq cm of surface area. Use 15003 or 15005 for each additional 100 sq cm of part thereof. For example: Surgical preparation of a 20 sq cm wound on the right hand and a 15 sq cm wound on the left hand would be reported with a single code, 15004. Surgical preparation of 75 sq cm wound on the right thigh and 75 sq cm wound on the left thigh would be reported with 15002 for the first 100 sq cm and 15003 for the second 50 sq cm. if all four wounds required surgical preparation on the same day, use modifier 59 with 15002, and 15004.