Debrided Ulcers

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Question:

I have a patient on whom I debrided ulcers on both his heels. The right ulcer was 4 sq cm and the left one was 5 sq cm. I debrided down to the level of bone on both heels. Do I code 11044 twice with a 50 modifier or a 59 modifier?

Answer:

The debridement codes, which were revised in 2011, specifically state that if multiple wounds of the same level of tissue are treated, the surface area of the wounds are combined to arrive at the correct CPT code. In your example, you would report 11044, only, for debridement, bone, first 20 sq cm or less.

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