tci General Surgery Coding Alert - 2006 Issue 12

You Be the Coder: Do Separate Excisions Mean Separate Codes?

Question: If our physician debrides two sites with infected decubiti, should we report each site separately? Which code(s) should we report for this service?Maine Subscriber Answer: First look at the decubiti excision codes (15920-15999). Select a code according to the ulcers- location and whether the physician also performs ostectomy (bone removal) or primary suture.You may report each excision separately, and you may also report free skin grafts (15000-15261) if the physician uses a graft to close the wound or donor site.For example, the physician removes both a coccygeal pressure ulcer and a sacral pressure ulcer with...

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