-25 modifer still doesn't go on CPT procedures.
-Our boy Jeff would very much like for everyone to ensure the tissue that is debrided is spelled out - epidermis, dermis, subcutaneous etc.
-11042 requires that you debride
necrotic tissue. Jokingly, don't go on too much about how granular that wound bed was because it has to have some necrosis in it to qualify for CMS. Rationalize this one because most wounds I see that are well tended are pink and granular...
-Documentation requirements can be substantial - below is from Jurisdiction M.
- Tool used for debridement (curette, scalpel, other instruments)
- Frequency of surgical debridement
- Measurement of total devitalized tissue (wound surface) before and after surgical debridement
- Area and depth of devitalized tissue actually removed from wound (not just depth of wound)
- Blood loss and description of tissue removed
- Progress notes or procedure notes with a detailed description of the procedure
- Evidence of the progress of the wound’s response to treatment; this documentation must include at a minimum:
- Current wound volume (surface dimension and depth). Presence (and extent of) or absence of obvious signs of infection.
- Presence (and extent of) or absence of necrotic, devitalized or non-viable tissue
- Material in the wound that is expected to inhibit healing or promote adjacent tissue breakdown