AAPC - Back to school
Results 1 to 2 of 2

Thread: New Debridment Codes

  1. #1

    Smile New Debridment Codes

    AAPC: Back to School
    Physician debrided 480 cm of necrostic tissue that went down to the bone the patient has medicare I know we use the 1st debridement code for the 1st 20 cm but do you bill the next code x 28 or list the code 28 times on the claim with 51 modifier?


  2. #2
    Join Date
    Apr 2007


    I'm assuming that this is 480 sq cm. As such 480 - 20 = 460. And since the debridement went TO the bone and did not INCLUDE the bone. In this scenario you would bill codes

    11043 x 1 unit (Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less) X 1 unit and

    11046 x 23 units (Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)

    No modifier is needed for the 11046 because you cannot bill it by itself. You must have it's parent code with it. Whether you list it 23 times or on a single line with 23 units is carrier specific.

    Hope this helps.

Similar Threads

  1. Debridment
    By cnramsey in forum Dermatology
    Replies: 1
    Last Post: 04-22-2012, 08:26 AM
  2. debridment codes
    By Kreismann in forum General Surgery
    Replies: 5
    Last Post: 01-24-2012, 07:14 AM
  3. debridment
    By mschrist3 in forum Anesthesia
    Replies: 2
    Last Post: 10-21-2011, 09:41 AM
  4. debridment for arthritis
    By amartinez1 in forum Orthopaedics
    Replies: 0
    Last Post: 11-01-2010, 03:48 PM
  5. Knee Debridment
    By nyyankees in forum Orthopaedics
    Replies: 2
    Last Post: 01-12-2009, 07:03 PM

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?


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.