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{B$0{@-g;E*m ZhP' 94*_@0C"EXOeB0]:w`;d3Qf)2 }q)e]wNa%FS|C|N/\Z ZLA&0aC`+9MA- 9[cBo}gi;>E\H%2PXus |,"y5q+p^$C-y#]+vJ%@|6 : &TI=C$^';Ez^J=SZ-gZ The surgeon may choose to leave the wound open in anticipation that healthy tissue will grow over the ulcer site. Report 97597 for ulcer debridement down to the subcutaneous tissue. endstream endobj startxref The program covers drugs that are furnished "incident-to" a physician's service provided that the drugs are not "usually self-administered" by the patient. In multiple wounds, sum the surface area of those wounds that are at the same depth, but do not combine sums from different depths. Autologous skin grafts are those that the surgeon harvests from another healthy part of the patients own body, and you would use different codes for those graft procedures. The scope of this license is determined by the AMA, the copyright holder. "2 2a TDl.Uae9c[yd\asU/(~8}ep cm.). 0000008118 00000 n Identification of the wound location, size, depth and stage either by description and/or a drawing or photograph. cm and The objective of the procedure is to . If the wound is being excised, not just debrided, at the time of split thickness skin graft placement then you could also report a surgical preparation code (e.g., 15002, 15004) in addition to the skin graft code. 6. We are looking for thought leaders to contribute content to AAPCs Knowledge Center. 0000016569 00000 n This page displays your requested Article. 4. Question: CPT considers debridement a separate procedure only when gross contamination requires prolonged cleansing, when appreciable amounts of devitalized or contaminated tissue are removed, or when debridement is carried out separately without immediate primary closure.. Therefore, if a drug is self-administered by more than 50 percent of Medicare beneficiaries, the drug is excluded from coverage" and the MAC will make no payment for the drug. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential Answer: 11042 for a Stg III Pressure Ulcer, and for a separate much deeper Stg IV Pressure Ulcer, 11043, will not pay together, despite using Mods 59 and 58 for both with our twice-weekly, excisional surgical debridement. Medicare contractors are required to develop and disseminate Articles. 0000020105 00000 n of the Medicare program. Your coder is correct simple debridement is included in the graft codes. 1. Applicable FARS/HHSARS apply. Codes describing excision debridements deeper than skin only are organized by depth: 2. Debridement services are now defined by body surface area of the debrided tissue and not by individual ulcers or wounds.