AAPC - Back to school
Results 1 to 3 of 3

Thread: 11042 Debridement

  1. #1

    Question 11042 Debridement

    AAPC: Back to School
    I have heard different opinions on what the Dr's dictation should be for billing 11042. After reading the code descripion countless times and this is what I am wondering...In the CPC exam a couple senarios stated "down to subcutaneous tissue" with all the available aswers being 11042. The CPT book states "reported by depth of tissue that is removed" prompting me to think the dictation should read "down to and including". I realize this seems like semantics, but codes are being corrected based on the physicians dictation and it would be great to hear some feedback regarding this.
    Thank you for your posts!

  2. #2

    Default 11042

    After working in wound care, 11042 is a common code used daily. I will only code the 11042 if dictation specifically states removed INTO or THROUGH the subq., removing viable and non viable, and the instrument used. If dictation states TO subq then it will be coded 97597, as long as it meets the other requirements. If dictation is missing one of these components the instrument or sharp verbage, type of tissue removed or depth level then I code an E/M.

  3. #3


    Thank you. That is very helpful =)

Similar Threads

  1. 11042 vs 10061 vs both???
    By AR2728 in forum General Surgery
    Replies: 0
    Last Post: 06-29-2015, 02:39 PM
  2. Replies: 2
    Last Post: 04-18-2013, 08:25 AM
  3. Debridement codes 11042-11047
    By mkcurry in forum General Surgery
    Replies: 1
    Last Post: 03-13-2012, 03:22 PM
  4. 11042/ 97597
    By caseycarter in forum General Surgery
    Replies: 0
    Last Post: 07-13-2010, 01:39 PM
  5. Replies: 2
    Last Post: 02-01-2010, 06:05 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.