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Dehiscence surgical wound treatment

  1. Question Dehiscence surgical wound treatment
    Medical Coding Books
    Patient had spinal surgery from the abdominal approach. There was only one surgical wound for the spinal surgery made. Patient then had dehisced surgical lines. My question is this: The physician is stating in notes that they are treating the "wounds", LT lower quad, LT lower quad middle, LT lower quad distal. So they are wanting to bill for a total of 3 wounds when the surgcial incision was one wound. Would you bill 11043 x 1 or 11043 x 3. Since this all comes from one surgical site in what appears to be a spreading fashion i am inclined to think x 1. Any help would be greatly appreciated!

    Thank you,

    *after posting I believe i have this figured out!
    Last edited by anita carleton; 06-11-2010 at 12:15 PM.

  2. Default
    just curious, what did you decide?

  3. Default
    The note was a bit confusing so I will have to speak with the physician to get a clearer picture. However, I know that if it is one surgical wound but has 3 sep. dehisced areas, that each can be seperatly billed. If it turns out to be 3 dehisced areas that have spread into one I would do one unit. Does this make sense?

  4. Default
    Obviously, I'm not seeing the entire picture. But why would you use the debridement codes and not 13160?


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