AHA Coding Clinic® for ICD-9 - 2011 Quarter 4; Ask the Editor
Ultrasonic Debridement
We are requesting that the advice regarding the Qoustic Wound Therapy System™, an ultrasonic debridement system, published in Coding Clinic Second Quarter 2010, pages 11-12, be revisited. Coding Clinic recommended assigning code 86.28 , Nonexcisional debridement of wound, infection, or burn, for the ultrasonic debridement system. We disagree with this advice because the system can be used to perform both excisional debridement and nonexcisional (mechanical) debridement. The Qoustic Wound Therapy System™; utilizes ultrasonic energy combined with a surgical Qoustic Qurette™ and is indicated for the selective dissection and fragmentation of tissue, wound debridement and cleansing saline irrigation of the site for the removal of debris, exudates, fragments, and other matter. ...
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Article Overview
This brief article addresses a request to revisit earlier Coding Clinic advice about an ultrasonic debridement system. It is relevant to coding professionals working with wound care and debridement procedures, and it frames the discussion around how the service has been characterized in prior guidance.
Why This Topic Matters
It helps readers understand that there is a dispute about how a specific ultrasonic debridement system has been addressed in published coding guidance, which may affect coding review and documentation interpretation.
What You Will Learn
- The article’s focus on ultrasonic debridement and related coding guidance
- Why earlier published advice is being questioned
- The general clinical context of the system discussed in the article
- The type of coding issue raised for wound care procedures
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation specialists
- Revenue cycle professionals
- Wound care coding staff
Codes Discussed
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