tci Outpatient Facility Coding Alert - 2020 Issue Q1

You Be the Coder: Factor Pressure Ulcer Stage Into Coding Determination

Question: I am looking for the code(s) to report for the debridement of an infected stage IV decubitus ulcer of the left heel. The wound size is 32 square centimeters. Kansas Subscriber Answer: A decubitus ulcer, also known as a pressure ulcer, is an open wound of the skin that’s the result of prolonged pressure to a localized site. In order to determine the correct code, you need to factor in the stage, or level, of the decubitus ulcer. For decubitus ulcers ranging from stages I to III, you’ll report codes 11042 (Debridement, subcutaneous tissue (includes epidermis...

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