AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2023 Issue 2; Ask the Editor

Excisional Debridement and Non-Excisional Debridement at Deeper Layer Same Site

A patient with a necrotic unstageable sacral pressure ulcer and superimposed cellulitis underwent excisional and non-excisional debridement. According to the operative note, a sharp excisional debridement was performed using scissors and a scalpel to excise necrotic skin and subcutaneous tissue. The exposed coccyx bone was soft and was debrided using VersaJet™, until only hard bone remained. What is the appropriate code assignment for excisional and non-excisional debridement of the same site, when the non-excisional debridement is performed at a deeper layer? ...

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