tci General Surgery Coding Alert - 2001 Issue 4

Case Study: Reason for Excision of Coccyx Determines Correct Code

"When a coccygeal decubitus ulcer is excised or debrided, the patients coccyx may also be removed to relieve pressure on the ulcer. Normally, this procedure is billed using either the debridement or decubitus ulcer excision codes. In some cases, however, neither the excision nor the debridement codes in the integumentary section of CPT most accurately describe the services performed, as in the following case study.Note: For more information on debridement and decubitus ulcer excision codes, see General Surgery Coding Alert, March 2001.Operative Report Preoperative diagnosis: Coccygeal decubitus with gangrene and invasive infection.Postoperative diagnosis: Same.Procedure: Wide...

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