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debridement cpt code in ER

  1. #1
    Default debridement cpt code in ER
    Medical Coding Books
    patient came to the ER with a skin tear to the left forearm which in 4 cm x 5 cm. The area was anesthetized with emla cream cleaned then debrided of devitalized tissue wth scissors. what cpt code would you use for debridement? Please help.

  2. #2
    Location
    Asheville-Hendersonville
    Posts
    44
    Default
    Look at 11042

  3. #3
    Default
    If debridement involves skin only (epidermis and/or dermis) use the Active Wound Care Management code, 97597, which meets your 20 sq cm area.

  4. #4
    Default
    Hey Mojo,
    me again...lol.
    I just had a patient that came to the ER with what he thought was cellulitis. It ended up just being some scabs that were debrided and drained of a little pus. It states he debrided down to the subcu, where everything underneath looked fine. Then he states that this was an I&D, and I do not agree. what do you think? Also, do have any more info about the 97597 code you mentioned in the prvious post? I have not been using that for my ER's. No one here at my new job has said anything about being able to use it here, so I am a little hesitant, you know? Any additional links or info would be great, if you have them.
    Thanks again Joni!!
    Leslie

  5. #5
    Location
    Ft. Worth, Texas
    Posts
    108
    Default
    Code 11042 has a note that states For debridement of skin (ie, epidermis and/or dermis only) see 97597, 97598. The physician needs to state the layers that were involved.

  6. #6
    Default
    Quote Originally Posted by LTibbetts View Post
    Hey Mojo,
    me again...lol.
    I just had a patient that came to the ER with what he thought was cellulitis. It ended up just being some scabs that were debrided and drained of a little pus. It states he debrided down to the subcu, where everything underneath looked fine. Then he states that this was an I&D, and I do not agree. what do you think? Also, do have any more info about the 97597 code you mentioned in the prvious post? I have not been using that for my ER's. No one here at my new job has said anything about being able to use it here, so I am a little hesitant, you know? Any additional links or info would be great, if you have them.
    Thanks again Joni!!
    Leslie
    It sounds like the provider unroofed a pus pocket. If he used a blade or large bore needle to cut, slice, incise or unroof, I agree with him.

    There is an article in the February 2011 Coding Edge on the debridement codes for 2011. It notes the deletion of 11040 and 11041. As a result, active wound care codes 97597 and 97598 were revised to include skin debridement.

  7. #7
    Default
    Awesome, thanks Joni...and everyone else as well

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