Nancy Posted Fri 16th of June, 2017 14:07:25 PM
Pressure ulcer, arterial insufficency. Size: 1.6 cm by .6 cm wide. Base: ulceration extends . unknown due to the fibrous eschar. Granular tissue present along the margins mostly fibrous. Necrotic tissue absent Drainage: small drainage observed Inflammed Grade 1
Sharp debridement Using #15 blade to remove fibrin from base of wound. portion of the wound base was removed full thickness. Topical cold spray used for anesthesia. Direct pressure was used for hemostatis. The would was measured and redressed with AmeriGel 2x2 gauze and Kling.
SuperCoder Answered Mon 19th of June, 2017 06:52:49 AM
CPT 11042 is appropriate code to bill for the mentioned procedure. In CPT 11042, physician surgically removes contaminated or devitalized subcutaneous tissue (including epidermis and dermis, if performed) caused by injury, infection, wounds (excluding burn wounds), or chronic ulcers. Using a scalpel, the physician excises the affected subcutaneous tissue until viable, bleeding tissue is encountered. A dressing or an occlusive dressing may be placed over the surgical site. CPT 11042 is for the first 20 sq cm or less area.