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debridment codes

  1. #1
    Default debridment codes
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    Hi,

    I am totally confused with all the debridement codes. What code should be used for debridement of dermis/epidermis and what should be used for subcutaneous tissue?

    I would use 97597 for dermis/epidermis and 11042 for subcutaneous tissue.

    I was told the code 97597 is used only when a non-physician is performing the procedure. I don't see this comment anywhere in the cpt book.

    Thank you!
    Kristi

  2. #2
    Default Article...
    Quote Originally Posted by Kreismann View Post
    Hi,

    I am totally confused with all the debridement codes. What code should be used for debridement of dermis/epidermis and what should be used for subcutaneous tissue?

    I would use 97597 for dermis/epidermis and 11042 for subcutaneous tissue.

    I was told the code 97597 is used only when a non-physician is performing the procedure. I don't see this comment anywhere in the cpt book.

    Thank you!
    Kristi
    In researching these same codes recently, I came across the following article which helped clarify their usage for me. Hope it can help you as well

    http://www.todayswoundclinic.com/deb...returns?page=2
    C. Cameron, CPC
    Billing & Coding Manager

  3. #3
    Default
    Thank you!!!

  4. Default Debridement
    Hi

    I have a CPT code 11042 (2 units) and 11043. Is it possible to bill CPT11042 with number of units or does it have to be billed with separate line item. Also which modifier is required for this.

  5. Default
    The CPT book states in multiple wounds, sum the surface area of those wounds that are at the same depth, but do not combine sums from different depths. For the 11042, if the total surface area is 20 sq cm or less only 1 code, if greater than 20 sq cm use 11045 for each additional 20 sq. cm.

  6. #6
    Default
    The code doesn't have anything to do with what type of provider did the service, selective debridement only means that the wound didn't change in size.
    Hope this helps....

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