tci Part B Insider - 2013 Issue 36

Reader Question: Documentation Is Everything for Debridement

Question: May I bill debridement if the physician documents no gross contamination? The physician reduced an open tibia fracture, applied an external fixator, and performed irrigation and debridement. Answer: The short answer is “Yes.” Your payer will most likely allow you to report the appropriate debridement code from the 11010-11012 series (Debridement including removal of foreign material at the site of an open fracture[s] and/or an open dislocation[s] …) as well as 27752 (Closed treatment of tibial shaft fracture [with or without fibular fracture]; with manipulation, with or without skeletal traction). When reporting codes 11010-11012, the...

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