Have a Coding Quandary? Ask John   Q: We recently (2014 charges) reported for a Medicare patient: 29827-LT Arthroscopy, shoulder, surgical; with rotator cuff repair-Left side 29823-59-LT Arthroscopy, shoulder, surgical; debridement, extensive-Distinct procedural service 29819-59-LT Arthroscopy, shoulder, surgical; with removal of loose body or foreign body +29826-LT Arthroscopy, shoulder, surg...
In Audit
Nov 13th, 2014
Recovery audit contractors (RACs) have recouped millions of dollars for excisional debridements that weren’t really excisional, or that weren’t fully documented to support the coding reported. In CPT® terms, think of the skin debridement codes in the 10000 section as excisional, and the debridement codes found in the 90000 section as non-excisional. As explained in ...
In CMS
Aug 21st, 2014
In most cases, per CMS rules, surgical arthroscopy will include arthroscopic debridement of the same joint; therefore, you may not report the debridement separately. For example, you should not separately report 29874 Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 Arthroscopy, knee, surgical; deb...
In Coding
Apr 24th, 2014
1. Codes describing excision debridements deeper than skin only are organized by depth: subcutaneous tissue (includes epidermis and dermis, if performed) – 11042 Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less and 11045 … each additional 20 sq cm, or part thereof (List separately in addition to code ...
In Coding
Mar 3rd, 2014
Correct coding of surgical debridement (11042-11047) requires documentation of both the measurement of the wound surface area after debridement and the depth of tissue that is removed. To avoid claims submission errors, denials for insufficient documentation, and potential overpayments, educate your clinicians to document these measurements as standard operating procedures for surgical debridement...