11005

Surgical Coders: Don’t Overstate Debridement

Tip: This encounter involves topical applications and patient care instruction in addition to removing devitalized tissue.

Question: When the surgeon performs a wound VAC or cleans a wound by scraping with a sharp curette (not excising tissue), is it appropriate to use a debridement code or should we report an active wound care management code from the range 97597-97606?

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Answer: Physicians typically use the debridement codes (11000-11001, Debridement of extensive eczematous or infected skin; … or 11004-11005, Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; …) for debridement by any method.

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Categories: 11000, 11001, 11004, 11005, 11040, 11044, 97597, 97605, 97606, CPT, Coding Challenge, Debridement, Soft Tissue, VAC, infection, skin, surgery, surgical, vacuum, wound   Tags: , , , , , , , , , , , , , , , , , , ,