Revenue Cycle Insider

General Surgery Coding:

Fix This Ulcer Debridement Claim

Question: We submitted a claim for a wound debridement that was denied. The provider documented that the patient had a stage 3 pressure ulcer of the right heel measuring 3 cm x 4 cm with necrotic bone exposed. The physician removed dermis, epidermis, fat, muscle, and bone. We originally reported 11042, 11043, 11044, and L89.614. How can we correct the [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles of

October 2025

View All