tci Outpatient Facility Coding Alert - 2016 Issue 6

Dermatology: Ask 'How Deep?' to Support Your Debridement Coding

That one answer could change your claim. Even experienced coders can sometimes get confused when reporting multiple debridements for the same patient during the same session. The good news is, every claim can be deciphered and understood as long as the provider has detail-oriented documentation. Starting point: The first key to unlocking the door to debridement coding success is knowing how deep the provider goes during the debridements. Once you have this information, you can decide when to use modifier 59 (Distinct procedural service) or the appropriate X modifier, and when to select a single code for the entire ...

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