tci Part B Insider - 2010 Issue 42

Reader Questions: Look to Wound Margins for Debridement Clues

Question: The physician performs a level-three E/M service in the emergency room, and then performs debridement of skin as well as subcutaneous tissue on a chronically infected wound from an electrical burn on patient's upper back. Notes indicate that the physician used sharp selective debridement according to the notes both skin and a significant amount of subcutaneous tissue were removed .What is the correct code for this encounter? Is this a 11040 service?Answer: You are in the right code set for the debridement, but choose the following codes for this procedure:11042 (Debridement; skin, and subcutaneous tissue) for the...

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