Dermatology Coding Alert
Use Code Pair for Pinpoint Pressure Ulcer Dx
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Question:
Indiana Subscriber
Answer:
You should submit a pair of codes; one to represent the stage of the pressure ulcer, and another for the ulcer itself. On the claim, report the following:• 99213 (Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: an expanded problem focused history; an expanded problem focused examination; medical decision making of low complexity ...) for the E/M
• 707.03 (Pressure ulcer; lower back) appended to 99213 to represent the pressure ulcer
• 707.21 (Pressure ulcer stage I) appended to 99213 to represent the pressure ulcer's stage.
Explanation:
Use the pressure ulcer ICD-9 codes to describe the healing stages of the patient's wound -- but remember to first code the site of pressure ulcer using 707.00-707.09, according to information beneath 707.2 in ICD-9 2009.Dermatology Coding Alert
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