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Necrotizing soft tissue but not 11004? Thoughts, please!

  1. #1
    Default Necrotizing soft tissue but not 11004? Thoughts, please!
    Medical Coding Books
    Complicate wound care op note here, and I'm sure hoping some of you coding experts out there will put your two cents in:

    We have an extensive (374 sq cm) debridement of necrotizing soft tissue infection of the buttock, and the note specifically states no perineal involvement, so I'm thinking the 11004-06 series of codes is out. The depth of involvement was such that subQ, muscle, fascia, and bits of coccyx were also removed, but because it was not a pressure ulcer, those 159xx codes are also out of play as well, I believe.

    This seems rather more significant than 11044 (w/multiple units of 11047), and also includes that necrotizing component, but on the other hand, this code grouping seems to fit best.

    What does the coding community say?

  2. #2
    Boise, Idaho
    If you go to the removal of devitalized/infected tissue it says for deeper tissue to see 11042-11047) so it looks like 11044 with multiple 11047 is what you are wanting

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