debridement and layered closure billing

edited May 2017 in Primary Care
Overheard a coding discussion recently at a conference and I wanted to get opinions from others. Patient was receiving wound care on the thigh. The physician was doing debridement with wound vac covering. As the healing developed, the physician closed the layers of muscle/fascia as it became viable. The final closure had not happened yet so the coders were discussing how to bill for this. One coder stated to just bill it as debridement with the wound vac placement. Another coder wanted to use a sub-q closure code with debridement, but felt that could bundle. Apparently the physician felt the closures were the most important part, not the debridement but the coders disagreed. Anyone have opinions on how to bill for this scenario?

Mary Dressler, CPC, CEMC
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  • Complex closer?
  • edited May 2017
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