tci ED Coding & Reimbursement Alert - 2007 Issue 11

READER QUESTIONS: Observe CCI Bundle on Burn/Debridement Claims

Question: A patient reports to the ED with a partial-thickness burn on his face. Encounter notes indicate that the physician debrided the burn, then treated it. Should I report codes for the debridement and the burn treatment?Oregon Subscriber Answer: No, you should not report the debridement in this instance. The debridement is bundled into the burn treatment code, according to the Correct Coding Initiative (CCI).On the claim, report 16025 (Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium [e.g., whole face or whole extremity, or 5 percent to 10 percent total body surface area]) for...

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