Results 1 to 2 of 2

Debridement question

  1. Question Debridement question
    Medical Coding Books
    Hello,

    I have the following codes for this case:

    11042 – Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less
    11045 - Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof
    11045 - Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof

    The operative report states “A total of 60 sq. cm. of skin and subcutaneous necrotic fat was debrided and excised.” Why wasn’t a code(s) for excisional debridement of the skin (dermis) assigned?

    What are the appropriate modifiers to append?

    Thanks

  2. #2
    Default
    Wound debridement is coded by depth and includes everything debrided down to that depth. The description of 11042 that you posted even says, "includes epidermis and dermis, if performed."

    11045 is an add-on code for 11042 so no modifier is needed. Typically this would be coded as 11045 with 2 units as opposed to 11045 on 2 lines.
    L. Mark Kozu, COC, CPC, CCC

Similar Threads

  1. Question on OP report for Debridement
    By mray906 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 05-15-2014, 05:30 AM
  2. debridement question
    By Jamie Dezenzo in forum Orthopaedics
    Replies: 0
    Last Post: 04-23-2012, 08:05 AM
  3. Debridement Question
    By RainyDaze in forum General Surgery
    Replies: 2
    Last Post: 04-05-2011, 03:16 PM
  4. Debridement question ?
    By bella2 in forum Orthopaedics
    Replies: 2
    Last Post: 09-18-2009, 01:35 PM
  5. Debridement Question.
    By nikkisgranny in forum Orthopaedics
    Replies: 2
    Last Post: 09-09-2009, 10:43 AM

Tags for this Thread

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.