Wiki Ulcer Debridement

KoBee

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There is a provider who wants to bill 97597 for the following routine debridement. But all research i have done it supports CPT 11042. Does anyone else agree with CPT 11042 or is there any good resources anyone can share so i can educate our provider.

1. Type of debridement; nonexcisional
2. Size and appearance of wound debrided : wound is 35 x 15 mm with tracking dorsal 16 mm, plantar 7 mm, d and proximal 10 mm. Decreased redness and swelling.
3. Removal of devitalized tissue description : fibrotic and granular tissue.
4. Cutting instrument; scalpel
5. Depth of debridement: dermis and subcutaneous

I debrided the ulcerations down to good, bleeding tissue. The wounds were lavage and a sterile antibiotic dressing is applied. I padded the area for protection and to offload the area.
- Pt is to continue daily dressing changes and padding for protection and to off-load it.
- Return in one week for follow-up.

Assessment:
- cellulitis right foot. Resolving.
- Diabetic plantar medial right foot.
- Diabetes mellitis
- Peripheral neuropathy secondary to DM
- PVD secondary to DM


Help :/

Thank you
 
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