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Wide excision of ulcer

  1. #1
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    NEW ORLEANS
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    956
    Default Wide excision of ulcer
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    Anyone now a cpt code for wide excision of a nonheling ulcer from lower extremity, ?

  2. Default
    Take a look at the description of procedure 12020. Does it sound anything like what you're doing?

    ~L
    CPC, CGSC, COSC

  3. #3
    Location
    NEW ORLEANS
    Posts
    956
    Default
    here's the report
    the patient had general anesthesia, 2 cm was marked around the area in a circular fashion. The area was was removed with 2 cm rim all the way down to the fascia of the right extremity. the mass was removed and sent to pathlogy for permanent sectioning. Excellent hemostasis was noted. The area was packed with 4x4 and the wound was dressed with kerlix and then ace bandage.

    dx- was chronic nonhealing right lower etremity ulcer.
    procedure -was wide excision of area
    pathalogy report - non healing leg ulcer- dx code 707.9

  4. #4
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    W
    Quote Originally Posted by trent123 View Post
    Anyone now a cpt code for wide excision of a nonheling ulcer from lower extremity, ?
    WOULD THIS NOT FALL UNDER DEBRIDEMENTS/11040-11044 DEPENDING OF DEBTH?

  5. #5
    Default
    Quote Originally Posted by corkey4 View Post
    W WOULD THIS NOT FALL UNDER DEBRIDEMENTS/11040-11044 DEPENDING ON HOW DEEP?
    XXXXX

  6. #6
    Default ulcer
    I too would use the debridement codes, but the physician will have to give more documentation. The size, depth, stage etc., and I would also use the 707.10 instead of the 707.9 as the location is listed as leg.

  7. Default
    I agree. This really does sound more like a debridement.

    ~L
    CPC, CGSC, COSC

  8. #8
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    I agree that it sounds like more of a debridement too, however I would be cautious since he did state "wide excision of MASS". I would get this clarified. The depth of the debridement is in the note and indicated as "all the way down to the fascia" so you wont need to find out the depth. The size wont be an issue if this is a debridement as those codes are not size related.

  9. #9
    Default
    If the note states "all the way down to the fascia" does this support 11043 or 11042?
    Mary Beth Gord, CPC

  10. Default
    Unless it actually included the fascia, I would stick with subcutaneous tissue.

    ~L
    CPC, CGSC, COSC

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