stogsmom3
Networker
I know we don't code to get paid. But, I go around and around with coding Soft tissue Radionecrosis. I code for a Wound Clinic. If I code as L59.8, the HBO gets paid but the debridement is denied for medical necessity. L59.8 isn't listed on the LCD for debridements. I just need advise, to code correctly. If I start at necrosis and look for radiation, it states to see Necrosis by site. There is no soft tissue, but there's subcutaneous newborn. Skin or subcutaneous states I96. So, then I confirm in the tabular section to find, I96 = Gangrene. So now, I'm confused. The note doesn't mention Gangrene. If I start with Radiation, Sickness then the tabular states excludes radiation related disorder of the skin and subcutaneous tissue. So, now I'm back to L59.8. Please help!