Here's the lay description of 21627 ... if it helps (From Encoder Pro)
The physician performs a debridement of the sternum. With the patient under anesthesia, the physician makes an incision in the skin overlying the sternum. The incision is carried deep to the bone. The sternum is debrided as warranted using any of a variety of hand or powered surgical instruments. Irrigation is used so that debridement can be completed as extensively as indicated. The wound may be loosely packed and a dressing applied or it may be closed in layers and a dressing applied.
The documentation you list is very sparse. But I really do notsee mention of the sternum at all.
Here's the lay description of 11444 (also from Encoder Pro
The physician surgically removes foreign matter and contaminated or devitalized bone (including epidermis, dermis, subcutaneous tissue, muscle, and/or fascia, if performed) caused by injury, infection, wounds (excluding burn wounds), or chronic ulcers. The physician uses a scalpel to excise the affected tissues into the bone. Depending on wound size, closure may be immediate or delayed. The wound may be packed open with gauze and require immediate or delayed reconstruction. Report 11044 for the first 20 sq cm or less and 11047 for each additional 20 sq cm or part thereof.
Again, I don't see this fully documented ... for one thing there's no mention of sq cm. (Of course, perhaps this is part of the procedure note that you didn't copy here).
Hope this helps.
F Tessa Bartels, CPC, CEMC
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join