tci ED Coding & Reimbursement Alert - 2021 Issue Q4

ED Coding: Could You Be Coding Wound Debridement Incorrectly?

Reviewers took a close look at reporting debridement services. Reporting wound debridement can be challenging in the emergency department, requiring you to differentiate the service from wound care management, and evaluate the depth of the wound that the physician debrided. A new Comparative Billing Report (CBR) has the details to help you figure out how you compare to other providers nationwide when it comes to billing this service. Background: In 2018, CMS merged its CBR program with the Program for Evaluating Payment Pattern Electronic Reports (PEPPER) programs. Previously, Medicare Administrative Contractor (MAC) Palmetto GBA facilitated CBRs with its partner...

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