Results 1 to 5 of 5

Need help on procedure code

  1. Exclamation Need help on procedure code
    Exam Training Packages
    I am having trouble finding a procedure the doctor performed in the Emergency Room.
    Patient had blisters around and on top of previous operation inscision site. The doctor in his notes "Patient has multiple blisters and the blisters were evacuated and cleaned with peroxide and Betadine then dressed with a 4x4. I can not find what cpt code to use since all of the cpt codes state and inscision was made and that is not what was done it was only cleansed. Not even sure I can bill for it either or just to bill for the ER visit.

    Help Please!

  2. #2
    Concord Coders in NC
    I am sure that you would only be able to bill for the E/M and that would also cover the cleansing of the wound. Be sure and check the global for the surgery and if a modifier might be needed.
    good luck.

  3. #3
    Look into would dehiscence otherwise it is p

    Wound dehiscence is a surgical complication in which a wound breaks open along surgical suture. Risk factors are age, diabetes, obesity, poor knotting or grabbing of stitches, and trauma to the wound after surgery.[1]

  4. Default
    This case does not sound like wound dehiscence to me (just my opinion). I don't think you could use an I&D code either. I think that as long as the patient was not in the global period, I would just bill an E/M.

  5. #5
    I agree with the E/M capturing the service if not in the global period. The documentation doesn't support a wound dehiscence, debridement or closure.

Similar Threads

  1. denial ER claim billing an EM code and procedure code
    By kmg745511 in forum Emergency Department
    Replies: 2
    Last Post: 11-09-2014, 09:55 AM
  2. Unlisted code vs Open Procedure Code
    By christinnagle in forum Orthopaedics
    Replies: 1
    Last Post: 03-30-2011, 01:06 PM
  3. Need help with a procedure code
    By sharon cpc in forum OB/GYN
    Replies: 2
    Last Post: 02-18-2011, 11:31 AM
  4. Need help w/procedure code
    By mrolf in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 06-02-2010, 06:32 PM
  5. Help with procedure code
    By CC5657 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 07-02-2008, 11:59 AM

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.