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excision of abdominal wall fistula

  1. #1
    Default excision of abdominal wall fistula
    Medical Coding Books
    Dr. excised wound fistula tract in the abdomen. He went down through the subcutaneous tissue down to fascia. The scar tissue, the fascia and the fistula tract were all removed.

    He says the size of the defect is 30 cm length, 12 cm width, 30 cm depth.

    What code(s) would best describe this procedure?

    Is it removal of benign lesion (11406) or debridement (11043-11047).

    If it is the 11043-11047, how do you figure out the square centimeters so we know how many units to bill for additional sq cm?

    Thank you for your time in advance.

    Ruth Ann

  2. Post excision of leson
    this is a good one.. looking over the details, if a scar tissue is defined or closely related to a lesion then 11406 is best if not then i would use one of the 11043 codes


    Quote Originally Posted by rgrimes View Post
    Dr. excised wound fistula tract in the abdomen. He went down through the subcutaneous tissue down to fascia. The scar tissue, the fascia and the fistula tract were all removed.

    He says the size of the defect is 30 cm length, 12 cm width, 30 cm depth.

    What code(s) would best describe this procedure?

    Is it removal of benign lesion (11406) or debridement (11043-11047).

    If it is the 11043-11047, how do you figure out the square centimeters so we know how many units to bill for additional sq cm?

    Thank you for your time in advance.

    Ruth Ann

  3. #3
    Location
    Johnson City
    Posts
    202
    Default
    I would use code 22901
    Melissa Jewett, CPC

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