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hb```f``e`2jx Y8t00:00@9@ 6 jx used to report this service. However, we do not recommend the 11042 11047 codes. If you are experiencing any technical issues related to the search, selecting the 'OK' button to reset the search data should resolve your issues. The document is broken into multiple sections. Coding for skin replacement surgery in 2012 | The Bulletin The patient's medical record must contain documentation that fully supports the medical necessity for services included withinthe related LCD. required field. 2022 HCPro, a brand of Simplify Compliance. Your coder is correct simple debridement is included in the graft codes. Surgical Preps: When Do You Code Them? - AAPC Knowledge Center For patients with chronic wounds being treated in an outpatient setting, services beyond the fifth surgical debridement, CPT code 11043, 11046 and/or 11044, 11047, per patient, per year, per wound may require a medical review of records demonstrating the medical reasonableness and necessity. Tip 3: Know Whats Included Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. 0000012252 00000 n Likewise, the Arobella Qoustic Wound Therapy System uses an ultrasonic assisted curette to debride wounds mechanically. Coding matrix for the new skin substitute graft codes For multiple wounds, sum the surface area of all wounds requiring grafts from the same anatomic site and report the applicable primary code and add-on code in multiples, as appropriate. Coding Debridement Procedures - AHIMA KarenZupko & Associates, Inc. | 312.642.5616 | information@karenzupko.com. Youll find the codes for skin substitute graft procedures in the range 15271-+15278 (Application of skin substitute graft ). Privacy Policy | Terms & Conditions | Contact Us. 4 CPT code 15431 is always related to CPT code 15430 and, per the MFSDB is always included in the global period of the other service. Include dressing: You might find documentation of wound dressing in the op report for skin substitute grafts, but you shouldnt separately code routine dressing supplies for services performed in the office, according to CPT instruction. That means you should never report 97602 (Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session) in addition to skin graft site preparation codes. All rights reserved. I work in an acute care center with a burn unit and have been striving for accuracy and consistency.
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