tci General Surgery Coding Alert - 2001 Issue 6

Precise Diagnosis Coding, Careful CPT Selection Are Vital When Billing For Burn Treatments

To establish medical necessity for burn treatments, surgeons must supply the correct diagnoses codes. This can be confusing because codes from two different ICD-9 series must be used in tandem. In addition, both the site of the treatment and the size of the affected area must be documented clearly. Select ICD-9 by Location and Severity Burn diagnosis codes fall within ICD-9 range 940-949. Selecting the correct diagnoses for burns can be difficult because: The physician may not have clearly or accurately described the location or extent of the burn More than one ICD-9 code may be necessary to indicate...

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