Per Ortho Coding Alert article:
Step 3: Check for Separately Codeable Debridement
Consider debridement a separate procedure only when gross contamination requires prolonged cleansing, and documentation must support that an appreciable amount of devitalized or contaminated tissue is removed or carried out separately without primary closure. Report debridement for these conditions with: 11040 (Debridement; skin, partial thickness) and 11044 (Debridement; skin, full thickness).
If the fracture is open, it may be necessary to clean and prepare the fracture prior to any restorative treatment and/or stabilization of the bone. The wound site may be contaminated with foreign material such as glass, dirt, grass, metal, gravel, etc. Open fracture debridement is separately reported under these circumstances and reported with 11010 (Debridement including removal of foreign material associated with open fracture[s] and/or dislocations[s]; skin and subcutaneous tissues) and 11012 (... skin and subcutaneous tissues, muscle fascia, muscle, and bone).
Hope this helps
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