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Wound care coding with 11042 11045

Melinda Posted Sun 19th of July, 2015 18:31:11 PM

patient has multiple extensive wounds requiring repeated debridement, wound vac, other modalities, including hyperbaric oxygen chamber treatments. The combined total surface area exceeds 180 sq cm. Wounds are located on both right (up to 30 sq cm) and left calves (45 sq cm), heels of both feet (rt 30 sq cm, left 25 sq cm) and great toe rt foot. How does this claim get coded? What modifiers should be used and what order are the codes added to the 1500?

Dr is hyperbaric chamber certified and is working in a specialty wound care center as a per diem, relief MD. Board certified family medicine.

SuperCoder Answered Mon 20th of July, 2015 00:42:51 AM

You did not mentioned the depth of the wound debrided. I am assuming it as subcutaneous tissue debridement. if total area is 180 sq. cm. Bill CPT code 11042 X1 unit and 11045 X8 units. For hyperbaric oxygen chamber treatment bill CPT 99183. Sequence depend upon RVU value of codes.
Correct billing sequence would be: 11042. 99183 and 11045.

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