tci General Surgery Coding Alert - 2024 Issue Q1

Reader Question: Look to Debridement With Sharps

Question: The surgeon treated a patient who evidently had recurring infection at the site of a prior wound closure. The report documents the surgeon opening the prior incision, performing digital manipulation of the site measuring 12 sq cm, finding shallow purulence but healthy tissue at the wound base. The surgeon excised the skin edges with scissors until observing punctate bleeding. The surgeon made a decision for negative pressure wound therapy and instructed the patient for ongoing care. How should we code this? Ohio Subscriber Answer: The documentation points to debridement code 97597 (Debridement (eg, high pressure waterjet with/without suction...

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