Podiatry

michiboo

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Any one have any good resources in regards how to under and code debridement of ulcers , routine foot care and trimming of nails. I feel there is so much info and looking for sources to help understand how to code, what to look for etc etc, feel a little loss :/ I would greatly appreciate any feedback or recommendations of books, videos or webinars .. Thank you
 

Orthocoderpgu

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Debridement of ulcers (any open wound) is coded in the 110XX. The physician needs to document the size of the ulceration and the tissue depth of the debridement (skin/subq, muscle/fascia or bone). It's been my experience that physician just love to document that the "wound was debrided". That's meaningless. In podiatry it's common for a patient to have multiple open wounds. Each one that is debrided must be documented separately according to size and tissue depth. It's also been my experience, especially those who treat the feet, the physicians incorrectly label procedures that are performed. They love documenting an "I&D" even though that's not what they did. So you have to read very carefully. Most of the time they want you to bill an "I&D" code when debridement codes are what is documented. I have a powerpoint that goes over trimming of nails and things like that. I can email it to you if you would like.
 

kim2018

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Debridement of ulcers (any open wound) is coded in the 110XX. The physician needs to document the size of the ulceration and the tissue depth of the debridement (skin/subq, muscle/fascia or bone). It's been my experience that physician just love to document that the "wound was debrided". That's meaningless. In podiatry it's common for a patient to have multiple open wounds. Each one that is debrided must be documented separately according to size and tissue depth. It's also been my experience, especially those who treat the feet, the physicians incorrectly label procedures that are performed. They love documenting an "I&D" even though that's not what they did. So you have to read very carefully. Most of the time they want you to bill an "I&D" code when debridement codes are what is documented. I have a powerpoint that goes over trimming of nails and things like that. I can email it to you if you would like.
Hello, would you please forward me your powerpoint for trimming of nails to kedwards@doctorsmakinghousecalls.com.
Thank you, Kim
 

VoitChromy

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Any one have any good resources in regards how to under and code debridement of ulcers , routine foot care and trimming of nails. I feel there is so much info and looking for sources to help understand how to code, what to look for etc etc, feel a little loss :/ I would greatly appreciate any feedback or recommendations of books, videos or webinars .. Thank you
I have a PDF my boss got from a seminar that really helps me break down the routine foot care codes I can share
 

VoitChromy

Networker
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31
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Debridement of ulcers (any open wound) is coded in the 110XX. The physician needs to document the size of the ulceration and the tissue depth of the debridement (skin/subq, muscle/fascia or bone). It's been my experience that physician just love to document that the "wound was debrided". That's meaningless. In podiatry it's common for a patient to have multiple open wounds. Each one that is debrided must be documented separately according to size and tissue depth. It's also been my experience, especially those who treat the feet, the physicians incorrectly label procedures that are performed. They love documenting an "I&D" even though that's not what they did. So you have to read very carefully. Most of the time they want you to bill an "I&D" code when debridement codes are what is documented. I have a powerpoint that goes over trimming of nails and things like that. I can email it to you if you would like.
I would also love a copy of your powerpoint if you are willing to share? I have a pretty detailed PDF and Id like to compare. nvoitchromy@yahoo.com
 

michiboo

Guru
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Debridement of ulcers (any open wound) is coded in the 110XX. The physician needs to document the size of the ulceration and the tissue depth of the debridement (skin/subq, muscle/fascia or bone). It's been my experience that physician just love to document that the "wound was debrided". That's meaningless. In podiatry it's common for a patient to have multiple open wounds. Each one that is debrided must be documented separately according to size and tissue depth. It's also been my experience, especially those who treat the feet, the physicians incorrectly label procedures that are performed. They love documenting an "I&D" even though that's not what they did. So you have to read very carefully. Most of the time they want you to bill an "I&D" code when debridement codes are what is documented. I have a powerpoint that goes over trimming of nails and things like that. I can email it to you if you would like.
I would love a copy of your powerpoint, please share :) loyam2620@gmail.com
 
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