tci Part B Insider - 2004 Issue 20

DIAGNOSIS CODES: Use New Decubitus Ulcer ICD-9 Codes For 15999 Claims

At last,a way to explain ulcers that aren't bed sores Billing for excision of decubitus ulcers just got more complicated in one way -- and simpler in another. You bill for excision of decubi-tus ulcers based on the ulcers'loca-tion, unlike billing for debridement, which is based on the ulcers'depth. The CPT codes for excision break down into four regions: coccygeal (15920-15922), sacral (15931-15937), ischial (15940-15946) and trochanteric (15950-15958). Now the 2005 ICD-9 codes have come out, and they contain new location-specific codes for decubitus ulcers. At first glance, you might expect to be able to use these new...

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