Results 1 to 5 of 5

multiple ulcers of same site

  1. Talking multiple ulcers of same site
    Medical Coding Books
    Hi

    I'm new to coding wound debridements and I have a couple of questions.
    If a patient has two ulcers on the right foot of different depths would I use one code or two?

    For example:one code was debrided of the subcutaneous tissue 20 cm.
    The second wound on the same foot was debrided of the muscle 20 cm.

    Would I use 11042 and 11043 or just 11043


    Also, for wound debridements (11042-11047; 97597 & 97598) what would typically be included in the Evaluation and Management codes?

    Also, what are some good wound care resources?
    Last edited by foguingt; 07-19-2011 at 11:45 PM.

  2. #2
    Default Multiple Ulcer same site
    If the debridement is for the same wound muscle and subcutaneous the 11042 is bundled in to 11043. See CCI edits you would only bill the 11043. If you have two ulcers dribrided subcutaneous left leg and muscl right leg than you can append the modifier 59 and bill both.

    Hope this helps!


    For resources I would get the NHIC LCD on debridements and look in the Physicial therapy LCD for 97597-97605 wound procedures.
    Last edited by BUDDY1983; 07-20-2011 at 06:17 AM.
    WSRCPC

  3. Default Multiple ulcers same site
    The ulcers are on the same site (foot) However they are on two different locations of the foot. Say, one is on the top of the foot (subcutaneous, code 11042) and one is on the bottom of the foot (muscle code 11043) Would I code just 11043 or 11042 and 11043? Thanks for the resources any help I can get, it would be greatly appreciated!

  4. #4
    Default
    Quote Originally Posted by foguingt View Post
    The ulcers are on the same site (foot) However they are on two different locations of the foot. Say, one is on the top of the foot (subcutaneous, code 11042) and one is on the bottom of the foot (muscle code 11043) Would I code just 11043 or 11042 and 11043? Thanks for the resources any help I can get, it would be greatly appreciated!
    I would code both. 11042-59 and 11043. The fact that it is tha same foot does not mean it is the same location. For example, it can be 11042 for medial ulcer of RT foot and 11043 for lateral ulcer of the same foot. Just make sure you put a note in box 19 of HCFA form for each code (ex. 11042-medial; 11043-lateral) to specify the location. It may be denied, so if I would be you, I would submit it on paper with notes attached.

  5. Default Multiple ulcers same site
    Thank you, you both have been very helpful!

Similar Threads

  1. multiple kidney stones in same site w/lithotripsy
    By tdove in forum Billing/Reimbursement
    Replies: 2
    Last Post: 04-23-2014, 10:12 AM
  2. Multiple Closures on same site following MOHS surgery
    By JFoushee12 in forum Dermatology
    Replies: 0
    Last Post: 03-18-2014, 03:34 PM
  3. Squamous/Basal cell carcinoma, multiple site of skin
    By atipton12 in forum Diagnosis Coding
    Replies: 1
    Last Post: 11-01-2013, 10:05 AM
  4. Multiple compression fractures of same site
    By pink3705 in forum Diagnosis Coding
    Replies: 2
    Last Post: 11-18-2010, 08:55 AM
  5. Multiple Procedures - Same Site
    By coderguy1939 in forum Outpatient Facilities
    Replies: 3
    Last Post: 11-13-2007, 09:52 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?

Login

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.