tci ED Coding & Reimbursement Alert - 2020 Issue Q3

Reader Questions: Consider Wound Depth When Billing Debridement Codes

Question: A 36-year-old male patient presented to the ED following a cycling accident, which resulted in deep cuts on his leg. The ED physician documented wounds measuring 30 sq. cm with small rocks in them requiring removal as well as some debridement down to and including the subcutaneous tissue involving both the epidermis and dermis. Which codes should we report? Tennessee Subscriber Answer: Your procedure note appears to include both debridement of epidermis and dermis as well as your provider’s documentation of the total area of the wounds, suggesting that you should be able to report 11042 (Debridement...

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