tci ED Coding & Reimbursement Alert - 2005 Issue 3

READER QUESTIONS: Choose Wound Code by Body Surface Percentage

Question: A patient came to the ED with infected decubiti on two sites that required debridement. Can I bill each site separately, and which codes should I report for this service?Idaho Subscriber Answer: You should report 11000 (Debridement of extensive eczematous or infected skin; up to 10% of body surface). You cannot code the sites separately because 11000's descriptor specifies a certain percentage of body surface. In this case, you should add the total surface area of the two sites together to get the appropriate percentage. Based on that total area, you can report code +11001 (... each...

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