AHA Coding Clinic® for ICD-9 - 2008 Issue 1

Excisional Debridement

The Central Office has received numerous questions about the information published in Coding Clinic Second Quarter 2004, page 5, which stated that excisional debridement involves cutting outside or beyond the wound margin. Healthcare facilities have stated that some local review organizations are interpreting this information literally. Coders are seeking clarification whether excisional debridement must involve cutting outside or beyond the wound margin and if the provider’s documentation needs to specifically state this in order to assign code 86.22. The clinical information published in Coding Clinic regarding excisional debridement and cutting outside of the wound margins...

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