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12001 (simple repair) includes "routine debridement and decontamination."

So you should not bill separately for 11042 unless the debridement went down to the subcutaneous layer and included "comprehensive cleaning, removal of significant tissue, or removal of soft tissue."

(Additionally, the Medicare LCD in Florida for code 11042 states that this procedure is only indicated when "necrotic tissue is present on an open wound [or] in cases of abnormal wound healing or repair," and that NONE of the following are considered to be debridement for coding purposes:

*Removal of necrotic tissue by cleansing, scraping (other than by a scalpel or a curette), chemical application, and wet-to-dry dressing.

*Washing bacterial or fungal debris from lesions.

*Removal of secretions and coagulation serum from normal skin surrounding an ulcer.

*Dressing of small or superficial lesions.

*Removal of fibrinous material from the margin of an ulcer.

etc...)
 
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