tci Medicare Compliance & Reimbursement - 2004 Issue 25

PHYSICIANS: 3 Questions Can Heal Decubitus Ulcer Coding Sores

Poor documentation could cost providers up to $350 per patient.Coders for physicians shouldn't get too accustomed to using excision codes for decubitus ulcer removals -- they may need to dig a little deeper in their CPT manual. In many cases, they'll need to know the location and depth of the wound, as well as whether the physician closed it. Coders should ask themselves these three key questions:Question 1: Did the Physician Close the Wound? Answering this question will help narrow the code selection to either an excision or a debridement procedure. If the physician closes the wound, report...

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