Wiki Medicare debridement codes

[kalpana]

Please advise how to bill cpt 11045 frequency of 40?
11042
11045 -4 qty
11045-59 4qty
11045--59 4qty
11045-59 27qty
We are getting a lot of denials.
Please let us know the right way to bill these for, Medicare.
Thank you
Kalpana

 

[liloe517]

The MUE for the 11045 is 12 so you can only bill for 12 units. How many sq cm are being debrided? If more than 260 sq cm are being debrided I would use a -22 modifier and provide the documentation showing how much debridement was done.