Debridement of Wound, Infection, or Burn

Effective October 1, 1988, the code assignment for debridement of wound, infection, or burn was revised to differentiate between an excisional and a nonexcisional procedure in the treatment of devitalized tissue as follows: 86.22 Excisional debridement of wound, infection, or burn 86.28 Nonexcisional debridement of wound, infection, or burn Correction/Clarification Notice: In accordance with Coding Clinic, Third Quarter, 1991, the attending physician must document in the medical record that an excisional debridement was performed to report code 86.22. Excisional debridement is the surgical removal or cutting away of devitalized tissue, necrosis, or slough. Depending on circumstances...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers a coding update and clarification related to debridement of wound, infection, or burn procedures. It is relevant to coders, CDI staff, and clinicians who document or report treatment of devitalized tissue. The discussion focuses on the distinction between procedure types, documentation expectations, who may perform the service, and the impact of the update from Coding Clinic guidance.

Why This Topic Matters

Accurate classification of debridement procedures affects diagnosis/procedure reporting and depends on documentation and performer type. The article helps readers understand how the revised guidance was intended to be applied in the medical record and in coding workflows.

What You Will Learn

  • How the debridement coding revision was structured
  • What documentation clarification was issued
  • How the article frames the distinction between procedure categories
  • Who the guidance is intended to help with reporting and documentation

Who Should Read This

  • Medical coders
  • Clinical documentation improvement specialists
  • Physicians
  • Nurses
  • Therapists

Codes Discussed

  • ICD-9-CM: 86.22
  • ICD-9-CM: 86.28

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