-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Debridement in sq cm and verbage
- Thread starter JJOHN0312
- Start date
mitchellde
True Blue
yes but use the 59 modifier to keep it from denying as a duplicate entry.
MWOOD
Contributor
I would need more documentation to say specifically. The question I have is that the physician states down to bone, but did he/she actually debride the bone? If no you would need to query the physician to determine the deepest level of debridement. If bone was debrided I would code 11044, +11047, +11047. The code descriptor for 11044 states the first 20 cm or less. 11047 states each additional 20 sq cm or part thereof.
11044=20cm2
11047=20cm2
11047=20cm2 or part thereof in your case the there of is 16cm2
_________________________
56cm2
The previous reply stated to use a modifier 59 this is not necessary and may actually reject/deny your claim because 11044 is the primary procedure and 11047 is an add on code which does not require a modifier 59.
Hope this helps, Matt.
11044=20cm2
11047=20cm2
11047=20cm2 or part thereof in your case the there of is 16cm2
_________________________
56cm2
The previous reply stated to use a modifier 59 this is not necessary and may actually reject/deny your claim because 11044 is the primary procedure and 11047 is an add on code which does not require a modifier 59.
Hope this helps, Matt.
Last edited: