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In terms of coding excisional debridement, does dissection mean the same as excisional? For example, the provider’s documentation states: “The debridement was sharp using knife dissection.”&n...
No, knife di...
Can you clarify what determines that a debridement in ICD-10-PCS is excisional? The progress note states: “I have debrided the abscess cavity, removing necrotic tissue and bone by sharp debrideme...
Yes, the doc...
The patient developed a nonhealing necrotic ulcer of the right thigh. Using a VersaJet debrider, the physician performed debridement of the skin and subcutaneous tissue. How should this procedure b...
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In the discharge summary the physician describes the patient’s debridement: “The patient underwent a digressive debridement by physical therapy of her sacral decubitus with pulse lavage and wet...
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The patient presents for surgical treatment of a necrotizing soft tissue infection of the left buttock. The provider documented the following in the operative note: “Using a sharp scalpel, I firs...
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If a physician documents “debridement of bone, fascia or muscle,” without specifying “excisional debridement,” can that be reported as excisional debridement? In order for the surgeon to ge...
Coders canno...
A patient with angina was seen for percutaneous coronary intervention. The procedure was aborted after several unsuccessful attempts to cross an occlusion at the right coronary artery. The coronary...
Per the ICD-...
A patient with critical limb ischemia was seen for catheter-based treatment of a lesion in the left superficial femoral artery (SFA). During the procedure, an angled glidewire encountered significa...
Based on the...
A patient with coronary artery disease underwent percutaneous coronary intervention. Angioplasty was performed on the right coronary artery (RCA). However, stent insertion was unsuccessful. Should ...
Yes, the ang...
The patient is a construction worker, who fell 10 feet from scaffolding, striking his head. He was diagnosed with right subdural hematoma, and emergency craniotomy with evacuation of subdural hemat...
The evacuati...