• 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 Wound Care Coding - Healed Ulcer

Create Wiki
K

ksue

Contributor
Messages
23
Best answers
0
I am new to wound care coding and need some help please.
Per the documentation (outpt setting) provider states "In my opinion has healed her left 4th toe diabetic toe ulcer. I did selective debridement with a curette removing this eschar and slight amount of slough".
As a coder I've always been taught to NOT code resolved conditions.
How do I code the DX since a selective debridement was done (97597) on the healed ulcer?
I was going to pick DX 250.00 and V67.9 for follow up care for the healed ulcer and downcode to 250.00 since the ulcer is healed. Should I pick a wound DX 893.0 instead of the V67.9?
Please need your expertise! Thank You
 
As the doc is still debriding the ulcer I would code this with the 97597 for a skin level debridement of slough/eschar. I would still code the diabetic ulcer as an active condition as he is still treating it as such. 250.80(assuming type II) and 707.15. A diabetic ulcer should never be coded to an open wound code.

Hope that helps :)
 
Wound Care

Thank you so much! it makes sense since still treating the ulcer
 
You must log in or register to reply here.
Top