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

Sacral Pressure Ulcer with Excisional and Nonexcisional Debridement of Same Site

A patient, who is diagnosed with a stage IV sacral decubitus ulcer and wet gangrene, underwent excisional and nonexcisional debridement, down to and including muscle, fascia, and bone. Since debridement of necrotic gangrenous tissue appears to be the sole objective of the procedure, the multiple procedure guideline does not appear to apply. What is the appropriate code assignment for excisional and nonexcisional debridement of the same site and depth? ...

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