Home Health ICD-9/ICD-10 Alert
Does Debridement Change Pressure Ulcer Coding?
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Question: Is a debrided ulcer considered a nonhealing chronic wound or is it a nonhealing surgical wound? -- Washington Subscriber Answer: You should consider a debrided ulcer to be an ulcer and code it as such. Debridement does not make the ulcer a surgical wound. The best strategy is to go with the wound's origin. For example, your patient has a previously staged stage IV pressure ulcer on the hip covered with eschar and slough. She undergoes sharp debridement. You would still code the wound as a pressure ulcer. Debridement is an ulcer treatment and does not make the pressure ulcer a surgical wound. So, at first you would code for the pressure ulcer with 707.04 (Pressure ulcer; hip) and 707.25 (Pressure ulcer, unstageable). After the debridement, you would report the pressure ulcer with 707.04 and 707.24 (Pressure ulcer stage IV).
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