0000000936 00000 n and Full Thickness Skin Grafts Code range for STSG -15100 (Trunk, arms and legs) -15120 (Face, scalp, eyelids, mouth, neck, ears . As you can see, procedure code 86.69 (other skin graft to other sites) includes the debridement and closure of the amputation site via split-thickness skin graft. The appearance and size of the wound (e.g., down to fresh bleeding tissue, 7 cm x 10 cm, etc.) Coding Root Operations with ICD-10-PCS: Understanding Transplantation cm involved a skin substitute application, you can report 15271 for the 20 sq. A description of the procedure as excisional Follow our experts tips to make sure you select the proper code and get all the pay your surgeon deserves for these services. Applicable FARS/HHSARS apply. Also, you can decide how often you want to get updates. iC>:D~c~V*H0"Q%L]5CB Answer: No. You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. Do not report 11042 -11047 in conjunction with 97597-97602 for the . 0000018702 00000 n Skin replacement surgery consists of two basic steps: surgical preparation of the recipient site and placement of the graft with fixation. Non-excisional debridement (e.g., 97602 Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session) is described as nonsurgical because it does not involve cutting away or excising devitalized tissue. Tip 2: Identify Type of Skin Substitute Graft. This email will be sent from you to the 11012 skin, subcutaneous tissue, muscle fascia, muscle and bone. Include cleaning: When the surgeon performs a simple cleansing of the wound, that service is included within the skin substitute procedure codes, according to CPT instruction. Like the site preparation codes, CPT distinguishes these codes by anatomic site and wound surface area, as follows: These unique codes are classified as per the anatomic site (general and specific body. Your MCD session is currently set to expire in 5 minutes due to inactivity. Be sure that the documentation supports that the wound area covered by the skin substitute was 20 sq. The Current Procedural Terminology guidelines state that debridement is considered a separate procedure "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." Contractors may specify Bill Types to help providers identify those Bill Types typically KarenZupko & Associates, Inc. | 312.642.5616 | information@karenzupko.com. Reporting of Wound Debridement Procedures Properly The document is broken into multiple sections. Debridement is the removal of dead (necrotic) or infected skin tissue to help a wound heal. Coding for skin replacement surgery in 2012 | The Bulletin 0000036033 00000 n Skin was closed with 6-0 Prolene. 0000007521 00000 n endstream endobj startxref In cases of excessive frequency or prolonged duration of treatment, documentation should include an evaluation for possible infection (e.g. The physician documentation is the key to being able to support both codes. Determining the wound location and surface area is important in order to select the appropriate CPT code. 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.

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