CPT^® 11012, Under Debridement Procedures on the Skin

The Current Procedural Terminology (CPT^®) code 11012 as maintained by American Medical Association, is a medical procedural code under the range - Debridement Procedures on the Skin.

Additional/Related Information

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Summary

The provider removes necrotic tissue along with all foreign materials from skin, subcutaneous tissue, muscle fascia, muscle, and bone in and around the site of an open fracture and/or open dislocation.

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Forum

Have a question about CPT Code 11012 ? Start a discussion here

Irrigation of incisional ulcer , foot

[QUOTE="Orthocoderpgu, post: 515301, member: 29238"] 11042 is not the correct code for this surgical procedure. Excisional debridement was not performed or at least documented. There is a lot work tha... [ Read More ]

Denials

HI, I am coming across 20525 being denied stating inclusive with 11012. Is this accurate? it doesn't seem to be.... [ Read More ]

Thumb tip amputation with flap closure

[QUOTE="fish4codes, post: 474313, member: 400219"] Not sure if I am understanding the OP note entirely, if it was an amputation (or any removal of bone therein) and you did a flap closure you would us... [ Read More ]

Thumb tip amputation with flap closure

Not sure if I am understanding the OP note entirely, if it was an amputation (or any removal of bone therein) and you did a flap closure you would use 26952, If it was a debridement of an OPEN fractu... [ Read More ]

fracture question ortho specialty coding

We billed the follow scenario and having issues with the modifier. Can anyone give some light to this? 20692- RT/T8/GC 11012- RT/GC 28455- RT/GC 28475- RT/GC Our denial is on line 1 and line 4 sta... [ Read More ]

25606 & 25600 and 25651 & 20690 bundling help for sx on distal radius & ulnar styloid fx's

Diagnosis: 1. Left grade 1 open comminuted intra-articular distal radius fracture (s52.572b) 2. Left open ulnar styloid fracture (s52.612b) 3. Dislocation of distal radioulnar joint (s63.015a) Proced... [ Read More ]

Bundling Issues

Hello hbarney1, Effective April 16, 2018 HBCBSNJ will not longer reimburse CPT 29580 separately if performed with CPT codes 11000, 11010, 11011, 11012, 11042, 11045, 11043, 11046, 11044 and 11047. P... [ Read More ]

BILLING ORIF WITH COMPLEX WOUND CLOSURE and Debridement for open fx

Hi Everyone, I have a physician who wants to bill a 27513 ORIF with a 11012 and a complex wound closure? It is my understanding that the closure of the wound would be included in the ORIF. Any hel... [ Read More ]

wound debridement

[b]Debridements[/b] 4 Comments Dig Deep into Debridement Shed damaging coding habits and promote healthy reporting of wound debridement procedures. Wound debridement is a medical procedure that remov... [ Read More ]

NCCI edit BKA amputation 27880 and Ex fix 20690 f/Femur fx

Was the debridement done at the same site as the amputation? If so, it is included and you should not bill the 11012.... [ Read More ]

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