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Thread: reimbursement for debridement

  1. #1
    Join Date
    Apr 2007

    Smile reimbursement for debridement

    AAPC: Back to School
    Hello Coding World!!!

    There are changes for debridements services which will affect my practice. My concern would be if the 11043 and 11044 indeed have a 90 day global period (which I have no edvidence).

    if we have a complex patient that we evaluate and then manage but have debridement as part of the management, can we just bill an em code.

    another concern is the use of modifers for a 90 day procedure in the situation above would require the 57 modifier for EM and procedure??? or could we continue to use 25 modifier ???

    With the major cut in payments we are trying to find ways to maximaize our reimbursement

  2. #2

    Default debridements

    Thanks for the posting of debridement changes - I haven't had a chance to check to see what the changes are - but if debridements have a 90 global then you would use modifier 78 or 79 as appropriate and modifier 24 on the e/m

  3. #3
    Join Date
    Apr 2007


    Thank you for your response...

    In regards to global periods is it up to AMA to decide and if so could I find edvidence of the discussion???


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