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Thread: Wound Debridement - Can someone explain

  1. #1
    Join Date
    Apr 2007
    Cape Girardeau

    Default Wound Debridement - Can someone explain

    AAPC: Back to School
    Can someone explain the difference between codes 97597 selective debridement and 11040-11042 debridement? I have a doctor who goes to a hospital based wound clinic and they will only let him bill for selective debridement if the ulceration sized does not change from previous visit. He is removing all necrotic tissue that has formed from the previous visit so why can I not bill a 11040-11042?

  2. #2
    Join Date
    Apr 2007
    Coastal Coders


    Selective debridement refers to the removal of specific, targeted areas of devitalized tissue or tissue that limits healing from a wound along the margin of viable tissue.
    Last edited by Peter Davidyock; 10-06-2010 at 09:14 AM.

  3. #3

    Default debridement

    my take on it is and this may not be completely accurate: the 11040's - debridement codes - they are based on depth of debridement ex: skin, subc tiss , muscle and bone and the 97597 are for active wound management and not just debridement of area

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