Wiki pressure ulcer and open wounds

[coder1]

Good Afternoon Coding world,

I finally understand how to code the debridement procedures for 2011. My concern would be the ICD9 codes, since we are allowed to only bill the same depth and level of tissue removed how would the icd-9 list

eg: Doctor documents
11043 for the rt hip pressure ulcer
11043 for the rt hip pressure ulcer
11043 for lt hip aterial disease

this would be billed with one cpt code 11043 and if over 20 sqcm 11046 for additonal, the issue I have is what would be the ICD 9 associated with the procedure???would I list all ICD9??? if there are over 8 debridemts performed with the same debridement level how ould the billing sytem handle this????

 

[btadlock1]

What ICD-9 codes are you working with? Any possibility you could post a scrubbed (no PHI) operative note?

 

[coder1]

eg: Doctor documents

9/21

11043 707.04 707.25 (according to the guidelines for pressure ulcer for 2011 the same
11043 707.04 707.23 code can be used for pressure ulcer but if staging different 11043 440.23 billed twice)
11043 890.1


I hope this is helpful for you,

Thanks