Results 1 to 2 of 2

Coding of ulcer debridement

  1. #1
    Default Coding of ulcer debridement
    New Call-to-action
    I need clarification on how to calculate the debridement of a sacral ulcer. The surgeon did not specify the total amount of debrided tissue, but he did give the before and after wound sizes;

    "Pre debridement measurements of this full-thickness stage IV [sacral] ulcer were 9cm long by 8 cm wide by 4 cm deep. There was foul-smelling necrotic tissue at the superior margin and in the depth of the wound. The inferior margin was actually somewhat clean and with evidence of granulation tissue. That caudal or inferior margin was also only about 15 mm away from the anal verge. This also was then sharply debided with the Bovie such that the ultimate wound measurements were 9 cm long by now 10 cm wide by 7 cm deep. The debridement was into subcutaneous fat as well as musculature of the buttock, as well as exposed periosteum of the sacrum in several areas, but no bony debridement was done nor thought to be required as that periosteum appeared to be healthy..."

    If the surface area of the wound before debridement is 288 square cm (9x8x4), and the surface area after debridement is 630 square cm (9x10x7), then the difference is the amount of tissue debrided , correct? So 630-288= 342 square cm debrided down to the periosteum. I chose code 11044, and 11047x17. Am I doing this right??


  2. #2
    Default rethinking calculation
    Actually, I'm rethinking the depth portion of the calculation. The original depth does not matter; it's the difference between the beginning and ending depths that are used to

    9x8= 72 original surface area of wound
    9x10= 90 ending surface area x 3 cm of increased depth= 270
    270 - 72 = 198 total square cm debrided

    So that would be codes 11044, and 11047x9.
    Can anyone confirm?

    Thanks again

Similar Threads

  1. ulcer debridement
    By solocoder in forum Dermatology
    Replies: 1
    Last Post: 03-26-2012, 01:35 PM
  2. ulcer debridement coding
    By CBC in forum Podiatry
    Replies: 3
    Last Post: 12-07-2011, 11:39 AM
  3. 28118 with ulcer debridement?
    By BFAITHFUL in forum Podiatry
    Replies: 3
    Last Post: 08-15-2011, 08:59 AM
  4. Ulcer debridement of toe?
    By BFAITHFUL in forum Outpatient Facilities
    Replies: 3
    Last Post: 03-24-2011, 08:42 AM
  5. Ulcer debridement
    By PLAIDMAN in forum Podiatry
    Replies: 0
    Last Post: 04-16-2010, 08:45 AM

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.