Debridement:::

[talukdar.c]

A 76-year-old male patient was admitted with a decubitus ulcer and cellulitis of the left heel. The patient complained of pain and swelling. The ulcer is open and draining purulent material. After IV antibiotics and wound cleansing for three days the decision was made to have the wound care nurse perform an excisional debridement at bedside. The debridement was performed using a scalpel, removing nonviable tissue and skin. The depth of the debridement was subcutaneous. The wound was cleansed again and a dressing applied.

What ICD-9-CM Diagnosis and procedure code would be assigned for the debridement? Kindly Guide....

 

[elenax]

try 11042 dx 707.07 and 682.8; assuming both are on the heel

 

[talukdar.c]

Thanks

Thanks a lot for the prompt reply...

I thought there may be some coding guidelines when it comes to Cellulitis and Ulcer of the same site...Now it's clear that we have to use both the codes.

Regards,
Talukdar.c