Results 1 to 2 of 2

Excisional debridement of incisional necrosis

  1. #1
    Monmouth Ocean
    Default Excisional debridement of incisional necrosis
    Medical Coding Books
    Can somebody help me? (new coder here!)

    Pt came to Minor Surgery with Incision necrosis, left TMA. (transmetarsal amputation) Procedure performed is excisional debridement using scalpel and versajet of left TMA site.

    1. Do I code it as a complication of the TMA surgery 997.69?

    2. Scalpel was used to remove eschar, which revealed fibrous tissue. This was debrided w/Versajet to stimulate bleeding tissue. Is this actually an excisional debridement?

    I've been playing around with this for a while and have finally given up!

    Any advice is gratefully appreciated!

  2. #2
    An excisional debridement changes the margins of the wound. Pre- and post-debridement measurements are different. If the wound margins don't change because only fibrinous slough or necrotic tissue is removed, code for active wound care management 97597-97598.
    The diagnosis seems reasonable, although I would also check for underlying conditions that may affect healing (e.g. diabetes, PAD, etc.).


Similar Threads

  1. Excisional Debridement - ICD-9
    By staceylh in forum General Surgery
    Replies: 1
    Last Post: 01-21-2015, 04:46 PM
  2. Excisional debridement
    By wietecha in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 09-11-2012, 02:22 PM
  3. Excisional Debridement
    By Lainie0559 in forum General Surgery
    Replies: 0
    Last Post: 09-10-2012, 12:54 PM
  4. excisional debridement
    By Lujanwj in forum General Surgery
    Replies: 2
    Last Post: 11-16-2011, 01:57 PM
  5. Excisional debridement of incisional necrosis
    By katrinabgood in forum Internal Medicine
    Replies: 1
    Last Post: 03-19-2009, 08:47 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.