Results 1 to 3 of 3

Sacral ulcer debridement calculation (x-post from derm)

  1. #1
    Default Sacral ulcer debridement calculation (x-post from derm)
    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 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..."

    Surface area of wound before debridement: 9x8 = 72 sq cm
    Surface area after debridement: 9x10 = 90 sq cm
    Depth of debridement: (7-4) = 3 cm
    So (90x3)-72 = 198 sq cm debrided

    Am I calculating this right??

    If so, I'm suing codes 11044, and 11047x9

    Any insight welcome.
    Thanks

  2. #2
    Default
    To answer my own question...
    I was thinking too hard
    Subtract beginning measurement from ending measurement.
    Beginning wound measurement: 9x8x4= 288
    Ending wound measurement: 9x10x7 = 630
    630-288= 342 sq cm. tissue debrided.


  3. #3
    Default
    If the entire wound was debrided, you would use the only final measurement of the wound size after the procedure (the physician is debriding the original wound area in addition to the area into which the wound is being expanded, so you do not subtract out the original wound size). The surface area is calculated by multiplying length by width for sq cm (do not use depth as that would calculate cubic cm, not sq). The debridement area in the example here would be 90 sq cm.
    Thomas Field, CPC, CEMC

Similar Threads

  1. Wound Vac closure - Sacral Ulcer
    By mkndevh@msn.com in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 11-02-2016, 01:17 PM
  2. Sacral ulcer and osteomyelitis
    By Om in forum Diagnosis Coding
    Replies: 1
    Last Post: 02-16-2015, 04:12 AM
  3. bleeding from sacral decubitus ulcer
    By ggparker14 in forum Diagnosis Coding
    Replies: 1
    Last Post: 10-12-2012, 07:02 PM
  4. Coccygectomy with excision of sacral pressure ulcer?
    By sweetybird0472 in forum General Surgery
    Replies: 6
    Last Post: 06-01-2011, 08:47 AM
  5. Ulcer debridement of toe?
    By BFAITHFUL in forum Outpatient Facilities
    Replies: 3
    Last Post: 03-24-2011, 08:42 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?

Login

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.