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I need help with this one

  1. Default I need help with this one
    Exam Training Packages
    How would you code (ICD-9) wound dehiscence, left ischial area, partial and (CPT) debridement of ischial wound by curettage with secondary wound closure?
    Last edited by arbrown2002; 09-15-2012 at 05:02 PM.

  2. #2
    Nashville AAPC Chapter
    I would double check for bundling issues between the debridement and secondary closure codes. Just use the dehiscence code as there isn't a specific Dx code for the area. The debridement codes have LCD's with them and the dehiscence code qualifies, you could also use a postop complication code from the LCD is necessary.

  3. Default
    The diagnosis is: wound dehiscence, left ischial area, partial
    and the procedure performed is: debridement of ischial wound by curettage with secondary wound closure.

    I just can't figure this one out :-/

  4. #4
    Cool WounddDehiscene/disruption
    Your information is not enough to figure exact code. Fr ICD-9 look under disruption, wound; 998.30 - 998.33. For CPT code you can look at 97597-97578 for selective debridement or 97602 for non-selective debridement. Check 13160 for secondary closure.
    I hope that will help.

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