tci General Surgery Coding Alert - 2001 Issue 7

Four Tips to Optimize Billing for Post-burn Grafts and Flaps

Following treatment, full-thickness burns must be covered to restore the skin barrier, reduce the risk of infection and prevent fluid and electrolyte loss. Covering also reduces scarring -- which can restrict range of motion (scar tissue is inflexible and frequently contracts, and is also more easily damaged and burned).  Typically, the affected area is dbrided and covered, or in some cases closed, using a graft or flap. Coding these services can be challenging because:   The size, location and type (full or split thickness) of the graft or flap may not be documented adequately. The wrong ICD-9 code...

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