tci Outpatient Facility Coding Alert - 2016 Issue 1

Reader Question: Verify Depth and Surface Area for Wound Code Selection

Question: Our wound care specialist treated a patient with multiple extensive wounds requiring repeated debridement and other modalities, including hyperbaric oxygen chamber treatments. The combined total surface area exceeds 180 sq cm. Wounds are located on both right (up to 30 sq cm) and left calves (45 sq cm), heels of both feet (right 30 sq cm, left 25 sq cm) and great toe of the right foot. How does this claim get coded? New York Subscriber Answer: Per CPT®, wound debridement (11042-11047) is reported according to the depth of tissue that is removed and by the wound’s...

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