You can use your browser's Print function (Ctrl-P on a PC or Command-P on a Mac) to view a print preview and then select PDF as the output. Skin replacement surgery consists of two basic steps: surgical preparation of the recipient site and placement of the graft with fixation. The National Correct Coding Initiative (NCCI) bundles skin substitute graft codes 15271-+15277 with skin and subcutaneous debridement code 11042 (Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less). The surgeon may choose to leave the wound open in anticipation that healthy tissue will grow over the ulcer site. Unless specified in the article, services reported under other KarenZupko & Associates, Inc. 2023 | All Rights Reserved, Cervicocerebral Imaging Whats Included. Avoid: Dont report a skin substitute graft when the surgeon applies non-graft wound dressings such as gel, powder, ointment, foam liquid, or injected skin substitutes, according to the guidelines. A Draft article will eventually be replaced by a Billing and Coding article once the Proposed LCD is released to a final LCD. To participate in the NAHRI forum discussions, you must be a member of the NAHRI community. Application of Bioengineered Skin Substitutes and Skin Grafting is performed on ulcers that are free of . Skin replacement surgery consists of two basic steps: surgical preparation of the recipient site and placement of the graft with fixation. This article contains coding and other guidelines that complement the Local Coverage Determination (LCD) for Debridement Services. Codify Subscriber Answer: You should [], Copyright 2023. Whether the surgeon performs both steps at a single encounter or delays grafting for a later time, report the surgical preparation using codes in the range 15002-+15005 (Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contractures ). Privacy Policy | Terms & Conditions | Contact Us. CPT considers debridement a separate procedure only when gross contamination requires prolonged cleansing, when appreciable amounts of devitalized or contaminated tissue are removed, or when debridement is carried out separately without immediate primary closure.. rW`n":Q5g%_7:j)j9."QFGH(2My"hqt}%%l}]KkWmNhlI,(PjqK9%.v#|3^ya%h'e'e2iB@iFOk|q)7 If.ug q&QP;jNy>9cW=aB=je>m3/dDQMA;2VJ0E5&Qj2[iG"^l+E. 1 G/r f VY;fuC{r@,>^Q k1[1Q3#V^DJ;;j!E"&~'/;{1M, ~ B ^(\%@%t m+?Rh@yK No portion of the American Hospital Association (AHA) copyrighted materials contained within this publication may be In the presence of documented significant ischemic disease with necrotic ulceration, extensive and definitive debridement may be required. Include simple debridement: Skin replacement grafts include simple debridement of granulation tissue or recent avulsion. That means you should select the appropriate HCPCS Level II code such as Q4101 (Apligraf, per square centimeter) or C1763 (Connective tissue, non-human (includes synthetic)) for the graft material. If you are looking for a specific code, use your browser's Find function (Ctrl-F) to quickly locate the code in the article. Answer: Debridement is considered a separately reportable procedure when gross contamination requires prolonged cleansing, when appreciable amounts of devitalized or contaminated tissue is removed, or when debridement is carried out separately without an immediate primary closure. Article document IDs begin with the letter "A" (e.g., A12345). RyfJwE@~:_t4lGY@iYTSBd(m6 DZk0XGxmpP+pF+ff,rBQ*A-E;qkdKom`5!0>?|;!Qb5(Hj QPiX)=Zc4cgQ+*lri59? These unique codes are classified as per the anatomic site (general and specific body. Another option is to use the Download button at the top right of the document view pages (for certain document types). 0000000936 00000 n This Agreement will terminate upon notice if you violate its terms. Size: To determine the surface area for code selection, add all areas within the same anatomic grouping, if the surgeon prepares multiple wounds. Earn CEUs and the respect of your peers. v. The depth of the debridement (e.g., to skin, fascia, subcutaneous tissue, muscle, or bone). 0000010293 00000 n Please visit the. resale and/or to be used in any product or publication; creating any modified or derivative work of the UB‐04 Manual and/or codes and descriptions; Coding Rationale The physician excised a malignant lesion from the patient's lower leg followed by closure with a split-thickness graft. 25 0 obj <> endobj Code Debridement by Documented Depth and Area When reporting debridement of a bedsore, code selection depends on the depth of debridement and total area debrided: Depth to subcutaneous tissue (to the depth of blood vessels and nerves): 11042 (first 20 sq cm) and +11045 (each additional 20 sq cm, or part thereof) The National Correct Coding Initiative (NCCI) bundles skin substitute graft codes 15271-+15277 with skin and subcutaneous debridement code 11042 (Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less). For patients with chronic wounds being treated in an outpatient setting, services beyond the fifth surgical debridement, CPT code 11043, 11046 and/or 11044, 11047, per patient, per year, per wound may require a medical review of records demonstrating the medical reasonableness and necessity. o Total site less than 100 sq cm: 15271 first 25 sq cm or less; +15272 each additional 25 sq cm CMS believes that the Internet is Report these procedures, when they represent covered, reasonable and necessary services, using the CPT or HCPCS code that most closely describes the service rendered. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. Autologous skin grafts are those that the surgeon harvests from another healthy part of the patients own body, and you would use different codes for those graft procedures. KarenZupko & Associates, Inc. 2023 | All Rights Reserved. cm). The medical record should include the following information: The documentation must include that if indicated, ongoing pressure relief has been prescribed, for example, shoe inserts, modifications, padding, frequent position changes, etc. What are the 2020 CPT code changes? 43 32 Use is limited to use in Medicare, Medicaid or other programs administered by the Centers for Medicare and Medicaid Services (CMS). damages arising out of the use of such information, product, or process. cm. Coding Skin Procedures in the Office Setting Written and Presented by Susan Ward, CPC, CPC-H, CPC-I, CPCD, CEMC, CPRC . debridement of a single wound, report depth using the deepest level of tissue removed. This article was converted to the new Billing and Coding Article format. Replacement material, graft size, multiple wounds all these factors and more will come into play when youre coding a skin replacement surgery using skin substitute grafts for conditions such as burns. There are lessons to be learned to avoid damaging coding habits. Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). Incision and debridement, right knee Exchange arthroplasty liner of right total knee arthroplasty OPERATIVE NOTE: . Local infiltration, metacarpal/digital block or topical anesthesia are included in the reimbursement for debridement services and are not separately payable. *This response is based on the best information available as of 4/11/19. Do we bill 15271 as the size of the debridement documented or only the size of the skin substitute? I work in an acute care center with a burn unit and . Instead, report 15273 and 15274 for the application of skin grafts of the arm, and codes 15277 and 15278 for application of skin grafts of the hands and fingers. You can still separately code for deep debridement that includes muscle and bone, says Marcella Bucknam, CPC, CCS-P, COC, CCS, CPC-P, CPC-I, CCC, COBGC, revenue cycle analyst with Klickitat Valley Health in Goldendale, Washington, using a code such as 11044 (Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq. My plastic surgeon debrided an open burn wound that was 45 sq cm then placed a split thickness skin graft over the wound. copied without the express written consent of the AHA. cm. Many claims for debridement are essentially dressing changes and are not separately payable. When can I report debridement separately? ii. The AMA does not directly or indirectly practice medicine or dispense medical services. The document is broken into multiple sections. cm and not just that the size of the skin substitute was 20 sq. You need to master the different graft options and know how to find the information in the surgeons note, because CPT includes different code sets for each type of graft. The skin substitute graft codes require some form of fixation, such as adhesives, sutures, or staples. uKEmc2vy5\^gB:w76>9s=gKn4"=yJ} crv[d[ ML\:6q~6U6_Nc8Dc?nN8^>\RY[qZ{XO*JT!e,(7=m]7}}O@gSS(B"t658>~.%W['i9hch8bQT%ml If the wound is being excised, not just debrided, at the time of split thickness skin graft placement then you could also report a surgical preparation code (e.g., 15002, 15004) in addition to the skin graft code. Procedures involving the wrist and/or ankle are reported with codes that include arm or leg in the descriptor. 4 CPT code 15431 is always related to CPT code 15430 and, per the MFSDB is always included in the global period of the other service. trailer <<1D25FBD66AB6418699B8EC89A49470A5>]/Prev 196840>> startxref 0 %%EOF 74 0 obj <>stream apply equally to all claims. *4 Use CPT code 15340-15341 or CPT code 15360-15366 for the surgical preparation or creation of recipient site for the tissue skin graft. Q: I have been trying to determine whether a skin graft includes debridement. The National Correct Coding Initiative (NCCI) bundles skin substitute graft codes 15271-+15277 with skin and subcutaneous debridement code 11042 (Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less). /| If the provider is unable to use photographs for documentation purposes, the medical record should contain sufficient detail to determine the extent of the wound and the result of the treatment. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. However, we do not recommend the 11042 - 11047 codes. An ulceration of the distal right leg was also noted and repaired with split thickness skin graft., Assign code 84.3 (revision of amputation stump) and code 86.69 (other skin graft to other sites) for the debridement and closure of the amputation site via split-thickness skin graft. f-\n`Js^7u_p9X-WEpWio.@C6I@|V5J]5q;@OXAi*##C#YL,3+Ol]8t~{kR[.){l+-{AIe^\0(IA%ju~qy=(*FZ> l9a|ZJ>}*:2 {GI5|hV\)f#a43eEMM0s To report these codes, the surgeons documentation should demonstrate work such as removing nonviable tissue and/or releasing a scar contracture. Replacement material, graft size, multiple wounds all these factors and more [], Dont miss pregnancy impact. The following procedures are considered part of active wound care management, and are not considered as debridement and are not included in the related LCD: Removal of devitalized tissue from wound(s), non - selective debridement, without anesthesia (e.g., wet-to-moist dressings, enzymatic, abrasion), including topical application(s), wound assessment, and instruction(s) for ongoing care. Use of CPT codes 11000-11047 is not appropriate for the following services: washing bacterial or fungal debris from feet, incision and drainage of abscess including paronychia, avulsion of nail plates, acne surgery, destruction of warts, or burn debridement. Secondary Payor Doesnt Recognize Consultations. cm involved a skin substitute application, you can report 15271 for the 20 sq. cm and then debridement codes (with an appropriate modifier) for the remaining 65 sq. preparation of this material, or the analysis of information provided in the material. Codes 15002-15005 apply specifically to describe the work of "preparing a clean and viable wound surface for placement of an autograft, flap, skin substitute graft or for negative pressure wound therapy," according to CPT guidelines. Please do not use this feature to contact CMS. There are multiple ways to create a PDF of a document that you are currently viewing. In addition to the type of graft material, the surgeon should also document site preparation and wound size, and number and location of grafts, according to Beresh. The page could not be loaded. Current Dental Terminology © 2022 American Dental Association. used to report this service. Procedure codes may be subject to National Correct Coding Initiative (NCCI) edits or OPPS packaging edits. What does Separate Procedure Mean in a CPT Code Description? . End Users do not act for or on behalf of the CMS. . The AMA is a third party beneficiary to this Agreement. Response to Comment (RTC) articles list issues raised by external stakeholders during the Proposed LCD comment period. Based on what I have read in the Official Guidelines for Coding and Reporting and Coding Clinic for ICD-9-CM, I believe that I should report two separate codes.Otherwise, the graft code would have an includes note indicating the debridement is inherent in the code. For example, debridement of two ulcers on the foot to the level of subcutaneous tissue, total area of 6 sq cm should be billed as CPT code 11042 with unit of service of "1". Youll find the codes for skin substitute graft procedures in the range 15271-+15278 (Application of skin substitute graft ). Debridement is considered a separately reportable procedure when gross contamination requires prolonged cleansing, when appreciable amounts of devitalized or contaminated tissue is removed, or when debridement is carried out separately without an immediate primary closure. I performed a simple debridement with a full thickness graft of the trunk and reported 15200 and coded also for the debridement, but my coder told me I could not report the debridement. %%EOF Tip 2: Identify Type of Skin Substitute Graft If more than 44-sq. Left axillary artery to left femoral artery bypass with an 8 mm PTFE graft INDICATIONS: . 43 0 obj <> endobj xref Bilateral Carpal Tunnel Procedures Different Days. The objective of the procedure is to . article does not apply to that Bill Type. Continuation of treatment plan with ongoing evidence of the effectiveness of that plan, including diminishing area and depth of the ulceration, resolution of surrounding erythema and /or wound exudates, decreasing symptomatology, and overall assessment of wound status (such as stable, improved, worsening, etc). appropriate codes to use when performing a non-surgical application of a skin substitute. CMS has defined "not usually self-administered" according to how the Medicare population as a whole uses the drug, not how an individual patient or physician may choose to use a particular drug. Applicable FARS/HHSARS apply. CDT is a trademark of the ADA. Billing and Coding articles provide guidance for the related Local Coverage Determination (LCD) and assist providers in submitting correct claims for payment. Secondary Payor Doesnt Recognize Consultations. Whether the surgeon performs both steps at a single encounter or delays grafting for a later time, report the surgical preparation using codes in the range 15002-+15005 (Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contractures ). Instructions for enabling "JavaScript" can be found here. Skin substitute grafts include the following: Supplies such as A6453 (Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard) are included in the skin application charge. U B( B>i ^6XPw1E_H*>4=i"U}`K}1~ymIoq=wza Size: To determine the surface area for code selection, add all areas within the same anatomic grouping, if the surgeon prepares multiple wounds. Im looking at getting 11042 (debridement) and the skin graft codes precertified. Add together the surface area of multiple . recommending their use. Medicare contractors are required to develop and disseminate Articles. As you can see, procedure code 86.69 (other skin graft to other sites) includes the debridement and closure of the amputation site via split-thickness skin graft. cm.). 0 ICD-10-CM Codes that Support Medical Necessity, ICD-10-CM Codes that DO NOT Support Medical Necessity, DEBRIDEMENT OF EXTENSIVE ECZEMATOUS OR INFECTED SKIN; UP TO 10% OF BODY SURFACE, DEBRIDEMENT OF EXTENSIVE ECZEMATOUS OR INFECTED SKIN; EACH ADDITIONAL 10% OF THE BODY SURFACE, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE), DEBRIDEMENT, SUBCUTANEOUS TISSUE (INCLUDES EPIDERMIS AND DERMIS, IF PERFORMED); FIRST 20 SQ CM OR LESS, DEBRIDEMENT, MUSCLE AND/OR FASCIA (INCLUDES EPIDERMIS, DERMIS, AND SUBCUTANEOUS TISSUE, IF PERFORMED); FIRST 20 SQ CM OR LESS, DEBRIDEMENT, BONE (INCLUDES EPIDERMIS, DERMIS, SUBCUTANEOUS TISSUE, MUSCLE AND/OR FASCIA, IF PERFORMED); FIRST 20 SQ CM OR LESS, DEBRIDEMENT, SUBCUTANEOUS TISSUE (INCLUDES EPIDERMIS AND DERMIS, IF PERFORMED); EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE), DEBRIDEMENT, MUSCLE AND/OR FASCIA (INCLUDES EPIDERMIS, DERMIS, AND SUBCUTANEOUS TISSUE, IF PERFORMED); EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE), DEBRIDEMENT, BONE (INCLUDES EPIDERMIS, DERMIS, SUBCUTANEOUS TISSUE, MUSCLE AND/OR FASCIA, IF PERFORMED); EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE), DEBRIDEMENT (EG, HIGH PRESSURE WATERJET WITH/WITHOUT SUCTION, SHARP SELECTIVE DEBRIDEMENT WITH SCISSORS, SCALPEL AND FORCEPS), OPEN WOUND, (EG, FIBRIN, DEVITALIZED EPIDERMIS AND/OR DERMIS, EXUDATE, DEBRIS, BIOFILM), INCLUDING TOPICAL APPLICATION(S), WOUND ASSESSMENT, USE OF A WHIRLPOOL, WHEN PERFORMED AND INSTRUCTION(S) FOR ONGOING CARE, PER SESSION, TOTAL WOUND(S) SURFACE AREA; FIRST 20 SQ CM OR LESS, DEBRIDEMENT (EG, HIGH PRESSURE WATERJET WITH/WITHOUT SUCTION, SHARP SELECTIVE DEBRIDEMENT WITH SCISSORS, SCALPEL AND FORCEPS), OPEN WOUND, (EG, FIBRIN, DEVITALIZED EPIDERMIS AND/OR DERMIS, EXUDATE, DEBRIS, BIOFILM), INCLUDING TOPICAL APPLICATION(S), WOUND ASSESSMENT, USE OF A WHIRLPOOL, WHEN PERFORMED AND INSTRUCTION(S) FOR ONGOING CARE, PER SESSION, TOTAL WOUND(S) SURFACE AREA; EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE), Some older versions have been archived. In your example, you will be closing the wound. +etUfqVW7]?5P .kJXp. Prior treatment by a physician, non-physician practitioner, nurse and/or therapist, Description of wound: length, width, depth, grid drawing and/or photographs, Amount, frequency, color, odor, type of exudate, Evidence of infection, undermining, or tunneling, Comorbidities (e.g., diabetes mellitus, peripheral vascular disease), Skilled plan of treatment, including specific frequency, modalities and procedures, Type of debridement performed, including instrument used, to support the debridement code billed, Changing plan of treatment based on clinical judgment of the patients response or lack of response to treatment. cm of skin substitute application (15271). The responsibility for the content of this file/product is with CMS and no endorsement by the AMA is intended or implied. Tip 1: Capture Site Preparation twZ5C2ayV`C~1S6#9mOk)d4sr$#yd:W8 Eu1EgZ \ 0 E endstream endobj 49 0 obj <>stream CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. Medicaid and the State Children's Health Insurance Programs, contracts with certain organizations to assist in the administration of the Medicare program. Wound debridement is a medical procedure that removes infected, damaged, or dead tissue to promote healing. Youve learned that you can separately report the site preparation and the skin substitute graft placement procedures, but you may wonder what other services and materials in the op report are separately billable. 39 0 obj <>stream ,P* &r4DH#.|QW" ss You can collapse such groups by clicking on the group header to make navigation easier. The patient's medical record must contain documentation that fully supports the medical necessity for services included withinthe related LCD. hbbd``b`J@ H0lV$ W0 y Code 86.69 may be assigned twice, if desired, to show the repair of the leg ulcer.. %PDF-1.7 % Include cleaning: When the surgeon performs a simple cleansing of the wound, that service is included within the skin substitute procedure codes, according to CPT instruction. The program covers drugs that are furnished "incident-to" a physician's service provided that the drugs are not "usually self-administered" by the patient. You are leaving the CMS MCD and are being redirected to the CMS MCD Archive that contains outdated (No Longer In Effect) Local Coverage Determinations and Articles, You are leaving the CMS MCD and are being redirected to, AMA CPT / ADA CDT / AHA NUBC Copyright Statement, Article - Billing and Coding: Debridement Services (A56617). All rights reserved, CMS publishes FAQ on modifiers -JW and -JZ, 2023 Revenue Integrity Symposium Justification Letter, 2023 NAHRI Leadership Council participation requirements, 2023 NAHRI Leadership Council research survey released. iC>:D~c~V*H0"Q%L]5CB Applications are available at the American Dental Association web site. [ 4"!|F. k K;7@J3"(>6&/~!.]wWV~- *h"BQ"H" 5=QHpI8$ {Lz Therefore, the more accurate code is a surgical preparation code (15002 15005) for excision (note the term is not debridement) of the open wound to prepare a viable wound surface for grafting. *This response is based on the best information available as of 11/16/17. If an entity wishes to utilize any AHA materials, please contact the AHA at 312‐893‐6816. Initial debridement may be deep and through skin, subcutaneous tissue, muscle fascia, and muscle. If all four wounds were debrided on the same day, apply modifier 59 Distinct procedural service with either 11042 or 11044, as appropriate. CPT codes 11000 and 11001 describe removal of extensive eczematous or infected skin. That means you should select the appropriate HCPCS Level II code such as Q4101 (Apligraf, per square centimeter) or C1763 (Connective tissue, non-human (includes synthetic)) for the graft material. GOVERNMENT AND ITS EMPLOYEES ARE NOT LIABLE FOR ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION, PRODUCT, OR PROCESSES No fee schedules, basic unit, relative values or related listings are included in CPT. Select Debridement Codes by Depth. Should we drop Mods 59s and instead use XSs, for both 11042 and 11043? The American Hospital Association (the "AHA") has not reviewed, and is not responsible for, the completeness or You can still separately code for deep debridement that includes muscle and bone, says Marcella Bucknam, CPC, CCS-P, COC, CCS, CPC-P, CPC-I, CCC, COBGC, revenue cycle analyst with Klickitat Valley Health in Goldendale, Washington, using a code such as 11044 (Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq. Like the site preparation codes, CPT distinguishes these codes by anatomic site and wound surface area, as follows: Non-autologous human skin (dermal or epidermal, cellular and acellular) grafts, including allografts (from a person other than the patient) and homografts (from cadavers) CPT considers debridement a separate procedure only when gross contamination requires prolonged cleansing, when appreciable amounts of devitalized or contaminated tissue are removed, or when debridement is carried out separately without immediate primary closure. Question: Based on what I have read in the Official Guidelines for Coding and Reporting and Coding Clinic for ICD-9-CM, I believe that I should report two separate codes. An asterisk (*) indicates a Trunk, arms, legs Determining the wound location and surface area is important in order to select the appropriate CPT code. Copyright © 2022, the American Hospital Association, Chicago, Illinois. Bottom line: Accurately coding skin substitute grafts requires lots of specific information in the medical record. This method may require the surgeon to perform "staged" debridements as the wound heals. 4. 2022 HCPro, a brand of Simplify Compliance. Reduction of pressure and/or control of infection will facilitate healing and may reduce the need for repeated debridement services. iii. Your MCD session is currently set to expire in 5 minutes due to inactivity. %PDF-1.5 % 0000044306 00000 n Some articles contain a large number of codes. 11042 - Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less + 11045 - each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. My coder says that 11043/11046 is included in 15271 and we can't separately bill for them with 15271. If the documentation supports that 20 sq. If there is not enough clarity, then a query would be indicated. If the surgeon leaves the wound open, you will report a debridement (11040-11044) rather than an excision. Wound care debridement codes 1104211047 Use these codes when the only procedure performed in wound debridement. Skin substitute graft application code selection is based on defect site location and size. In your case, the wound is being closed with a split thickness skin graft so the debridement codes are not accurate in this situation. Guidance on these codes is available in the Bill type and Revenue code sections. Code 86.22, Excisional debridement, was defined as the "surgical removal or cutting away of devitalized tissue, necrosis, or slough," which could be performed in the operating room, emergency room, or at the patient's bedside. As used herein, "you" and "your" refer to you and any organization on behalf of which you are acting. Remember that the debridement codes, 11042-11047, are reported when you debride an open wound that will stay open to heal by secondary intention. Terms: Primary intention means that the edges of the wound or graft are closed to allow them to grow together, while secondary intention refers to allowing an open wound to heal from the base up by building new tissue. He has been covering medical coding and billing, healthcare policy, and the business of medicine since 1999. The scope of this license is determined by the AMA, the copyright holder. By clicking below on the button labeled "I accept", you hereby acknowledge that you have read, understood and agreed to all terms and conditions set forth in this agreement.
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