AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2020 Issue 2; Ask the Editor

Chronic Non-Pressure Ulcer of Heel with Subcutaneous Tissue Exposure

A patient presented to wound care for debridement of a non-pressure chronic ulcer of the left lateral foot. The ulcer is documented as having visible skin breakdown prior to debridement and visible subcutaneous tissue without necrosis, post-debridement. In the outpatient setting, when a non-pressure chronic ulcer is documented as one severity pre-debridement and a different severity post-debridement, are one or two codes reported? If one, which severity level is assigned? ...

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