Wiki hyperbarics and debridement same day

[kgrantham@wkhs.com]

How would you code for a physician who performed supervision of hyperbarics for a diabetic foot ulcer with osteomyelitis, and also debrided the wound to subcutaneous level ( <20 sq cm.) in the same day?

99183, 11042-59 modifier?


What are your thoughts on the coder not submitting the 11042 because "insurance will not pay for hyperbarics and debridement?"


Thanks