AAPC - Back to school
Results 1 to 4 of 4

Thread: Ulcer debridement of toe?

  1. #1

    Default Ulcer debridement of toe?

    AAPC: Back to School
    Our doctor performed an amputation of the third digit and also performed a surgical debridement of the ulcer dorsal, left foot Im using 28820 for the amputation and I know the ulcer debridement is bundled according to CCI edits but NOT CPT 11043 which is debridement up to the muscle but I'm not sure if the following qualifies for CPT 11043?

    a circumferential incision was made at the level of Metatarsophalangeal joint and to the level of the gangrene demarcation. The incision was deepened through the subcutaneous tissue and through the MTP joinot. A towel clamp was then used to hold the third digit while the digit was interarticulated from the MTP joint. The tissue was removed and passed from site in toto.
    Attention was then directed to the dorsal left foot, where a mostly drained wound was interposted with fibrous tissue. The fibrous tissue was debrided utilizing a sharp and blunt dissection. A #15 blade and a curette were used to debride the wound to the level of the active bleeding. The wounds were flushed with copious amounts of sterile normal saline. The incision sites and wound were dressed with adaptic sterile gauze 4x4s. The patient will have the wound vac reapplied this week.

    Thank you!!

  2. #2


    Any takers on thus one?

  3. #3
    Join Date
    Apr 2007
    Albany, New York


    I would not assign 11043 based on the documentation provided..........
    Last edited by magnolia1; 03-23-2011 at 09:17 PM. Reason: wrong code entered
    Karen Maloney, CPC
    Data Quality Specialist

  4. #4


    I wouldn't either. Someone suggested CPT code 97597 because the depth is not documented.

Similar Threads

  1. ulcer debridement
    By solocoder in forum Dermatology
    Replies: 1
    Last Post: 03-26-2012, 01:35 PM
  2. ulcer debridement coding
    By CBC in forum Podiatry
    Replies: 3
    Last Post: 12-07-2011, 11:39 AM
  3. 28118 with ulcer debridement?
    By BFAITHFUL in forum Podiatry
    Replies: 3
    Last Post: 08-15-2011, 08:59 AM
  4. Ulcer debridement
    By PLAIDMAN in forum Podiatry
    Replies: 0
    Last Post: 04-16-2010, 08:45 AM
  5. Diabetic Toe Ulcer
    By klash992 in forum Orthopaedics
    Replies: 4
    Last Post: 01-09-2009, 08:21 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.