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Pressure Ulcer SCALP

  1. #1
    Location
    Milwaukee WI
    Posts
    4,466
    Default Pressure Ulcer SCALP
    Medical Coding Books
    This is for a pre-certification, so we do not have an op note yet.

    We have a patient who wears a helmet due to a brain injury as an infant. Now she has a pressure ulcer on her scalp and doctor is going to excise it. There are codes for pressure ulcers on the lower half of the body, but nothing for scalp.

    Should we use complex repair codes? 15999 (Unlisted, excision pressure ulcer)? Some other code or combination of codes?

    Thanks in advance for your help.

    F Tessa Bartels, CPC, CEMC

  2. #2
    Location
    Milwaukee WI
    Posts
    4,466
    Default Bumping up
    Hoping someone has some thoughts on this.

    Tessa

  3. #3
    Location
    Modesto California
    Posts
    71
    Default
    I researched this and asked two of our doctors and they said based on the CPT codes they looked at....15999 looked like the only to be used for that dx.. If it was an abscess that would be totally different. Anyways I tried.

  4. #4
    Location
    Milwaukee WI
    Posts
    4,466
    Default Thanks
    Thanks for checking. 15999 is the only thing we're coming up with also.

    F Tessa Bartels, CPC, CEMC

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