In the presence of documented significant ischemic disease with necrotic ulceration, extensive and definitive debridement may be required. 1253 0 obj <> endobj %%EOF To report these codes, the surgeons documentation should demonstrate work such as removing nonviable tissue and/or releasing a scar contracture. The following procedures are considered part of active wound care management, and are not considered as debridement and are not included in the related LCD: Removal of devitalized tissue from wound(s), non - selective debridement, without anesthesia (e.g., wet-to-moist dressings, enzymatic, abrasion), including topical application(s), wound assessment, and instruction(s) for ongoing care. What does Separate Procedure Mean in a CPT Code Description? without the written consent of the AHA. 0000017393 00000 n CPT codes, descriptions and other data only are copyright 2022 American Medical Association. All rights reserved, CMS publishes FAQ on modifiers -JW and -JZ, 2023 Revenue Integrity Symposium Justification Letter, 2023 NAHRI Leadership Council participation requirements, 2023 NAHRI Leadership Council research survey released. cm involved a skin substitute application, you can report 15271 for the 20 sq. These unique codes are classified as per the anatomic site (general and specific body. You're right about the skin graft code (s). To participate in the NAHRI forum discussions, you must be a member of the NAHRI community. 2021 Evaluation and Management Codes: Is a History Required? article does not apply to that Bill Type. CDT is a trademark of the ADA. Here's How to Choose : Either Debridement or Excision Is - AAPC You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement. 15004 and +15005 for face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits Otherwise, the graft code would have an includes note indicating the debridement is inherent in the code. If the provider is unable to use photographs for documentation purposes, the medical record should contain sufficient detail to determine the extent of the wound and the result of the treatment. Should we drop Mods 59s and instead use XSs, for both 11042 and 11043? PDF Billing and Coding Guidelines - Centers for Medicare & Medicaid Services Question: 0000010407 00000 n When the patient has required more debridement services per wound than defined below, the medical record must include documentation reflecting neuropathic, vascular, metabolic, or other comorbid conditions. hb```f``e`2jx Y8t00:00@9@ 6 jx The AMA does not directly or indirectly practice medicine or dispense medical services. 0000027593 00000 n Tip 3: Know Whats Included License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. Non-excisional debridement (e.g., 97602 Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session) is described as nonsurgical because it does not involve cutting away or excising devitalized tissue. Wound Care | CPT Codes for debridement - CodingIntel Replacement material, graft size, multiple wounds all these factors and more [], Dont miss pregnancy impact. Please visit the. PDF Coding for Wound Care - apma.org Include cleaning: When the surgeon performs a simple cleansing of the wound, that service is included within the skin substitute procedure codes, according to CPT instruction. Bottom line: Accurately coding skin substitute grafts requires lots of specific information in the medical record. In ICD-9-CM, the Alphabetic Index main term entry is Graft; subterm entry fascia, which directs users to code 83.82, Graft of muscle or fascia. *This response is based on the best information available as of 4/11/19. When debridements are performed, the debridement . that coverage is not influenced by Bill Type and the article should be assumed to These codes are primarily used when irrigation and . *This response is based on the best information available as of 09/05/19. Add skin substitute: When your surgeon performs a skin substitute graft, the supply of the skin substitute/ graft should be reported separately, according to CPT instruction. KarenZupko & Associates, Inc. 2023 | All Rights Reserved. An official website of the United States government. Build Up Better Pressure Ulcer Surgery Coding If you are looking for a specific code, use your browser's Find function (Ctrl-F) to quickly locate the code in the article. CPT considers debridement a separate procedure only when gross contamination requires prolonged cleansing, when appreciable amounts of devitalized or contaminated tissue are removed, or when debridement is carried out separately without immediate primary closure. All rights reserved, Debridement of the skin that is preparatory to further surgery such as reduction of fracture, etc., should not be coded as a separate procedure., The surgeon debrided the necrotic tissue surrounding the amputation site, harvested skin from the patient's thigh and closed the wound with a split thickness skin graft. Autologous skin grafts are those that the surgeon harvests from another healthy part of the patients own body, and you would use different codes for those graft procedures. Youve learned that you can separately report the site preparation and the skin substitute graft placement procedures, but you may wonder what other services and materials in the op report are separately billable. This is reported with a single code, 11044. Current Dental Terminology © 2022 American Dental Association. The surgeon may choose to leave the wound open in anticipation that healthy tissue will grow over the ulcer site. recommending their use. Local Coverage Articles are a type of educational document published by the Medicare Administrative Contractors (MACs). Debridement Codes 11000 -11001 -11000 -Debridement; up to 10% of body surface . Skin replacement surgery consists of two basic steps: surgical preparation of the recipient site and placement of the graft with fixation. PDF Coding Skin Procedures in the Office Setting - AAPC The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. |S=LqO=Vz Organizations who contract with CMS acknowledge that they may have a commercial CDT license with the ADA, and that use of CDT codes as permitted herein for the administration of CMS programs does not extend to any other programs or services the organization may administer and royalties dues for the use of the CDT codes are governed by their commercial license. Your coder is correct simple debridement is included in the graft codes. Your MCD session is currently set to expire in 5 minutes due to inactivity. cm and not just that the size of the skin substitute was 20 sq. My plastic surgeon debrided an open burn wound that was 45 sq cm then placed a split thickness skin graft over the wound. Coding for skin replacement surgery in 2012 | The Bulletin Wound care debridement codes 1104211047 Use these codes when the only procedure performed in wound debridement. Answer: You, your employees and agents are authorized to use CPT only as agreed upon with the AMA internally within your organization within the United States for the sole use by yourself, employees and agents. Complete absence of all Revenue Codes indicates To code the excision, look in the index for the term Lesion, then Skin. Question: Instructions for enabling "JavaScript" can be found here. o Similar code pairs based on area: 15275 and +15276; 15277 and +15278 [ 4"!|F. k The Centers for Medicare & Medicaid Services (CMS), the federal agency responsible for administration of the Medicare, Can I report 11042 (debridement skin and subcutaneous tissue, first 20 sq cm) and +11045 (each additional 20 sq cm) for the debridement in addition to the split thickness skin graft code? Report these procedures, when they represent covered, reasonable and necessary services, using the CPT or HCPCS code that most closely describes the service rendered. cm of skin substitute application (15271). That means you should never report 97602 (Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session) in addition to skin graft site preparation codes. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. appropriate codes to use when performing a non-surgical application of a skin substitute. Whether the surgeon performs both steps at a single encounter or delays grafting for a later time, report the surgical preparation using codes in the range 15002-+15005 (Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contractures ). 0000018702 00000 n Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). Coding and Billing for Skin Substitute Grafts Skin substitute graft application code selection is based on defect site location and size. The medical record should include the following information: The documentation must include that if indicated, ongoing pressure relief has been prescribed, for example, shoe inserts, modifications, padding, frequent position changes, etc. cm; we know that many times the actual size of the skin substitute is larger than the area that was covered. ICD-10-PCS CODING 2022 - Case Studies and Code Building Exercises.docx ii. AHA copyrighted materials including the UB‐04 codes and Anesthesia administered by or incident to the provider performing the debridement procedure is not separately payable. PDF Physician Office Billing & Payment Guide - Integra Life accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available. U.+"x/J>DcB not endorsed by the AHA or any of its affiliates. Privacy Policy | Terms & Conditions | Contact Us. Coding Rationale The physician excised a malignant lesion from the patient's lower leg followed by closure with a split-thickness graft. Auto- is different: If you see the term autograft or tissue cultured autograft, then you are dealing with the harvest and/or application of an autologous skin graft. THE UNITED STATES The skin substitute graft codes require some form of fixation, such as adhesives, sutures, or staples. Im taking a patient to the OR for debridement of a dehiscent surgical wound and will skin graft it for closure. 4. Please enable "JavaScript" and revisit this page or proceed with browsing CMS.gov with 4. Photographic documentation of wounds either immediately before or immediately after debridement is recommended for prolonged or repetitive debridement services (especially those that exceed five extensive debridements per wound (CPT code 11043 and/or 11044)). Initial debridement may be deep and through skin, subcutaneous tissue, muscle fascia, and muscle. If a simple dressing change is performed without any active wound procedure as described by these codes, do not bill these codes to describe the service. There are multiple ways to create a PDF of a document that you are currently viewing. CMS has defined "not usually self-administered" according to how the Medicare population as a whole uses the drug, not how an individual patient or physician may choose to use a particular drug. The views and/or positions presented in the material do not necessarily represent the views of the AHA. 0000010490 00000 n If you do not agree with all terms and conditions set forth herein, click below on the button labeled "I do not accept" and exit from this computer screen. jQuery(function() { _initLayerSlider( '#layerslider_57_r6v94to757da', {createdWith: '6.8.2', sliderVersion: '6.9.2', allowFullscreen: true, pauseOnHover: 'enabled', skin: 'v6', sliderFadeInDuration: 350, useSrcset: true, skinsPath: 'https://karenzupko.com/wp-content/plugins/LayerSlider/assets/static/layerslider/skins/', performanceMode: true}); }); KarenZupko & Associates, Inc. 2023 | All Rights Reserved. The code lists in the article help explain which services (procedures) the related LCD applies to, the diagnosis codes for which the service is covered, or for which the service is not considered reasonable and necessary and therefore not covered. Do we bill 15271 as the size of the debridement documented or only the size of the skin substitute? Answer: Not exactly. In cases of excessive frequency or prolonged duration of treatment, documentation should include an evaluation for possible infection (e.g. Based on what I have read in the Official Guidelines for Coding and Reporting and Coding Clinic for ICD-9-CM, I believe that I should report two separate codes.Otherwise, the graft code would have an includes note indicating the debridement is inherent in the code. The National Correct Coding Initiative (NCCI) bundles skin substitute graft codes 15271-+15277 with skin and subcutaneous debridement code 11042 (Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less). You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. Examples of the inappropriate use of these codes are ulcers, furuncles, and localized skin infections. I work in an acute care center with a burn unit and have been striving for accuracy and consistency. Debridement Debridement of subcutaneous tissue (e.g., Current Procedural Terminology (CPT) codes 11042 and 11045, if appropriate) is considered Include dressing: You might find documentation of wound dressing in the op report for skin substitute grafts, but you shouldnt separately code routine dressing supplies for services performed in the office, according to CPT instruction. cm and Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. Follow our experts tips to make sure you select the proper code and get all the pay your surgeon deserves for these services. When your surgeon treats a patient with appendicitis, you may find [], Planning can reduce consequences. Applicable FARS/HHSARS apply. Application of Bioengineered Skin Substitutes and Skin Grafting is performed on ulcers that are free of . Prior treatment by a physician, non-physician practitioner, nurse and/or therapist, Description of wound: length, width, depth, grid drawing and/or photographs, Amount, frequency, color, odor, type of exudate, Evidence of infection, undermining, or tunneling, Comorbidities (e.g., diabetes mellitus, peripheral vascular disease), Skilled plan of treatment, including specific frequency, modalities and procedures, Type of debridement performed, including instrument used, to support the debridement code billed, Changing plan of treatment based on clinical judgment of the patients response or lack of response to treatment. Per the MFSDB - payment for bilateral procedures does not apply. Copyright 2023 HCPro, a Simplify Compliance brand. Youll find the codes for skin substitute graft procedures in the range 15271-+15278 (, o Total site less than 100 sq cm: 15271 first 25 sq cm or less; +15272 each additional 25 sq cm, o Total site 100 sq cm or more: 15273 first 100 sq cm (or 1 percent body area infants and children); +15274 each additional 100 sq cm (or 1 percent body area infants and children), Face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/ or multiple digits, You can still separately code for deep debridement that includes muscle and bone, says, Grasp measurement rules. CMS and its products and services are HLN>bE+hAi .xiJ2D4>"A_6N@f("nChK!`=x;c` DIS!Sf8_c^x)$ Q&A: Determine documentation difference between skin graft and - ACDIS In your example, you will be closing the wound. The treatment plan for a patient who requires frequent repeated debridement should be reevaluated, to ensure that pressure reduction and infection control have been adequately addressed. +etUfqVW7]?5P .kJXp. Billing and Coding articles provide guidance for the related Local Coverage Determination (LCD) and assist providers in submitting correct claims for payment. 0 of the Medicare program. cm. Do you code debridement with skin graft? - Wise-Answer No fee schedules, basic unit, relative values or related listings are included in CPT. If billed by a hospital subject to OPPS for an outpatient service, these CPT codes will be paid under the OPPS when the service is not performed by a qualified therapist and it is inappropriate to bill the service under a therapy plan of care. qe<>O &j'>-3c\BMAi`/@SPPkS u6X \[bkjqkXdV41+ahqg& _p,d4ueQ@Ha s0O Bottom line: Accurately coding skin substitute grafts requires lots of specific information in the medical record. The skin substitute graft codes require some form of fixation, such as adhesives, sutures, or staples. Thank you. If the surgeon leaves the wound open, you will report a debridement (11040-11044) rather than an excision. Making copies or utilizing the content of the UB‐04 Manual, including the codes and/or descriptions, for internal purposes, used to report this service. This page displays your requested Article. Instead, report 15273 and 15274 for the application of skin grafts of the arm, and codes 15277 and 15278 for application of skin grafts of the hands and fingers. 3]HE1}}&Z\d3aD)6C~NYZgois\t-w;s3N>dgp@GtBisMaq)%le"Z\g.j4 9qEb*NLaQD\/z a\)DC|[JkHHq\J.d&X. 3. CPT code 15002/15005 are only appropriately used in place of service inpatient hospital, . Q&A: Billing for wound debridement and skin substitute application The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. Not exactly. I performed a simple debridement with a full thickness graft of the trunk and reported 15200 and coded also for the debridement, but my coder told me I could not report the debridement. Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. GOVERNMENT AND ITS EMPLOYEES ARE NOT LIABLE FOR ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION, PRODUCT, OR PROCESSES Codes 15002-15005 apply specifically to describe the work of "preparing a clean and viable wound surface for placement of an autograft, flap, skin substitute graft or for negative pressure wound therapy," according to CPT guidelines. Left axillary artery to left femoral artery bypass with an 8 mm PTFE graft INDICATIONS: . Coding Root Operations with ICD-10-PCS: Understanding Transplantation The page could not be loaded. Non-human skin substitute grafts such as xenografts (from another animal such as pig) You can use your browser's Print function (Ctrl-P on a PC or Command-P on a Mac) to view a print preview and then select PDF as the output. PDF Billing and Coding Guidelines for GSURG-052 Application of Size: To determine the surface area for code selection, add all areas within the same anatomic grouping, if the surgeon prepares multiple wounds. Billing and Coding for Skin Substitute Grafts DISCLOSED HEREIN. Use of CPT codes 11000-11047 is not appropriate for the following services: washing bacterial or fungal debris from feet, incision and drainage of abscess including paronychia, avulsion of nail plates, acne surgery, destruction of warts, or burn debridement. . descriptions may not be removed, copied, or utilized within any software, product, service, solution or derivative work 0 PDF Billing and Coding Guidelines for Wound Care - Centers for Medicare In addition to the type of graft material, the surgeon should also document site preparation and wound size, and number and location of grafts, according to Beresh. For example, debridement of two ulcers on the foot to the level of subcutaneous tissue, total area of 6 sq cm should be billed as CPT code 11042 with unit of service of 1. Absence of a Bill Type does not guarantee that the LGXt5q]$]0"$T ?@Z"&&g2~caPa;SS:Sk \SA?3U'VXAHKJ66 R f`p/2XNd@T1 When subcutaneous tissue is debrided from a 16 s. cm dehisced abdominal wound and a 10 sq cm thigh wound, report 11042 for the first 20 sq cm and 11045 for the second 6 sq cm. If you are experiencing any technical issues related to the search, selecting the 'OK' button to reset the search data should resolve your issues. All Rights Reserved (or such other date of publication of CPT). Providers are reminded that the CPT code used to report the debridement must represent the level of debridement and not the depth of the ulcer. Wound debridement is a medical procedure that removes infected, damaged, or dead tissue to promote healing. rW`n":Q5g%_7:j)j9."QFGH(2My"hqt}%%l}]KkWmNhlI,(PjqK9%.v#|3^ya%h'e'e2iB@iFOk|q)7 If.ug q&QP;jNy>9cW=aB=je>m3/dDQMA;2VJ0E5&Qj2[iG"^l+E. 1 G/r f VY;fuC{r@,>^Q k1[1Q3#V^DJ;;j!E"&~'/;{1M, ~ B ^(\%@%t m+?Rh@yK The care of minor wounds (post-operative, traumatic, or otherwise) is incidental to other covered services. For patients with chronic wounds being treated in an outpatient setting, services beyond the fifth surgical debridement, CPT code 11043, 11046 and/or 11044, 11047, per patient, per year, per wound may require a medical review of records demonstrating the medical reasonableness and necessity. When can I report a debridement in addition to a graft? Include simple debridement: Skin replacement grafts include simple debridement of granulation tissue or recent avulsion. Would also adding Mod 22 help, and for which one 11042 or 11043? PDF Inpatient ICD-9-CM Mapping to ICD-10 PCS - Integra Life Tech & Innovation in Healthcare eNewsletter, Excision of Benign or Malignant Skin Lesion, Reporting Debridement Requires Documented Area and Depth, Both Depth and Area Matter when Reporting Debridement, Meet Documentation Criteria for Excisional Debridement, subcutaneous tissue (includes epidermis and dermis, if performed) 11042, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed) 11043, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed) 11044. Face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/ or multiple digits Supplies such as A6453 (Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard) are included in the skin application charge. An operative note or procedure note for the debridement service. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. You can collapse such groups by clicking on the group header to make navigation easier. As you can see, procedure code 86.69 (other skin graft to other sites) includes the debridement and closure of the amputation site via split-thickness skin graft. If you would like to extend your session, you may select the Continue Button. Dont report a skin substitute graft when the surgeon applies non-graft wound dressings such as gel, powder, ointment, foam liquid, or injected skin substitutes, according to the guidelines. When other reconstructive procedure(s) (skin graft, myocutaneous flap, vessel graft . CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. Incision and debridement, right knee Exchange arthroplasty liner of right total knee arthroplasty OPERATIVE NOTE: . This code is based on a wound size (singular or aggregate size; after cleansing, prepping, and/or debriding) minimally of 100 sq cm*. CPT codes 97597 and 97598 are categorized by CMS as sometimes therapy services. endstream endobj 26 0 obj <> endobj 27 0 obj <> endobj 28 0 obj <>stream If all four wounds were debrided on the same day, apply modifier 59 Distinct procedural service with either 11042 or 11044, as appropriate. resale and/or to be used in any product or publication; creating any modified or derivative work of the UB‐04 Manual and/or codes and descriptions; 1 If infection has developed, the patient's response to this infection should be described. Debridement of diabetic foot ulcers more frequently than once every seven (7) days, for a period longer than three (3) months may not be reasonable and necessary. You need to master the different graft options and know how to find the information in the surgeons note, because CPT includes different code sets for each type of graft. o Total site less than 100 sq cm: 15271 first 25 sq cm or less; +15272 each additional 25 sq cm The following products may be billed with CPT codes 15430-15431 . of every MCD page. ICD-10-CM Codes that Support Medical Necessity, ICD-10-CM Codes that DO NOT Support Medical Necessity, DEBRIDEMENT OF EXTENSIVE ECZEMATOUS OR INFECTED SKIN; UP TO 10% OF BODY SURFACE, DEBRIDEMENT OF EXTENSIVE ECZEMATOUS OR INFECTED SKIN; EACH ADDITIONAL 10% OF THE BODY SURFACE, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE), DEBRIDEMENT, SUBCUTANEOUS TISSUE (INCLUDES EPIDERMIS AND DERMIS, IF PERFORMED); FIRST 20 SQ CM OR LESS, DEBRIDEMENT, MUSCLE AND/OR FASCIA (INCLUDES EPIDERMIS, DERMIS, AND SUBCUTANEOUS TISSUE, IF PERFORMED); FIRST 20 SQ CM OR LESS, DEBRIDEMENT, BONE (INCLUDES EPIDERMIS, DERMIS, SUBCUTANEOUS TISSUE, MUSCLE AND/OR FASCIA, IF PERFORMED); FIRST 20 SQ CM OR LESS, DEBRIDEMENT, SUBCUTANEOUS TISSUE (INCLUDES EPIDERMIS AND DERMIS, IF PERFORMED); EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE), DEBRIDEMENT, MUSCLE AND/OR FASCIA (INCLUDES EPIDERMIS, DERMIS, AND SUBCUTANEOUS TISSUE, IF PERFORMED); EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE), DEBRIDEMENT, BONE (INCLUDES EPIDERMIS, DERMIS, SUBCUTANEOUS TISSUE, MUSCLE AND/OR FASCIA, IF PERFORMED); EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE), DEBRIDEMENT (EG, HIGH PRESSURE WATERJET WITH/WITHOUT SUCTION, SHARP SELECTIVE DEBRIDEMENT WITH SCISSORS, SCALPEL AND FORCEPS), OPEN WOUND, (EG, FIBRIN, DEVITALIZED EPIDERMIS AND/OR DERMIS, EXUDATE, DEBRIS, BIOFILM), INCLUDING TOPICAL APPLICATION(S), WOUND ASSESSMENT, USE OF A WHIRLPOOL, WHEN PERFORMED AND INSTRUCTION(S) FOR ONGOING CARE, PER SESSION, TOTAL WOUND(S) SURFACE AREA; FIRST 20 SQ CM OR LESS, DEBRIDEMENT (EG, HIGH PRESSURE WATERJET WITH/WITHOUT SUCTION, SHARP SELECTIVE DEBRIDEMENT WITH SCISSORS, SCALPEL AND FORCEPS), OPEN WOUND, (EG, FIBRIN, DEVITALIZED EPIDERMIS AND/OR DERMIS, EXUDATE, DEBRIS, BIOFILM), INCLUDING TOPICAL APPLICATION(S), WOUND ASSESSMENT, USE OF A WHIRLPOOL, WHEN PERFORMED AND INSTRUCTION(S) FOR ONGOING CARE, PER SESSION, TOTAL WOUND(S) SURFACE AREA; EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE), Some older versions have been archived.
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