tci ED Coding & Reimbursement Alert - 2005 Issue 4

Reader Questions: Report 11040 Over 97597

Question: A patient presented to the ED with canine mastication to the thigh. The physician debrided the devitalized tissue. Would the 11040-11044 codes be appropriate or should I report a code from the 97597-97602 series?Montana Subscriber Answer: In this case, the 11040 code set is probably more appropriate. Depending on the depth of the wound, you would choose one of the following:  11040 - Debridement; skin, partial thickness  11041 - ... skin, full thickness  11042 - ... skin, and subcutaneous tissue  11043 - ... skin, subcutaneous tissue, and muscle  11044 - ... skin, subcutaneous tissue, muscle, and bone. The 97597 (Removal of...

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