tci ED Coding & Reimbursement Alert - 2007 Issue 8

Reader Question ~ Size Matters on Devitalized Tissue Removal Code

Question: A patient with a pressure ulcer on his shoulder blades reported to the ED, and the physician removed devitalized tissue from the ulcer area. How should I report the service?Minnesota SubscriberAnswer: You-ll need to check the operative notes for the size of the excision area.Option 1: If the total area removed is 20 square centimeters or less, report 97597 (Removal of devitalized tissue from wound[s], selective debridement, without anesthesia [e.g., high-pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps], with or without topical application[s], wound assessment, and instruction[s] for ongoing care, may...

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