tci ED Coding & Reimbursement Alert - 2006 Issue 5

Burn Treatment: Size, Location of Burn Drive Choice of Revised CPT Codes

Also, carriers like 2 diagnosis codes on all 16000 claims When a patient reports to the ED for burn treatment, coders must first determine the size of the burn. Then, they can start looking for the right CPT Code.Why? The burn treatment code set in CPT 2006 includes three burn categories---small,- -medium- and -large---and coding for the wrong-size burn could result in claim denials. -It [burn size] will be the key issue. Coders need to determine a small, medium or large burn before they can choose the code,- says Todd Thomas, CPC, CCS-P, president of Thomas...

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