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Debridement of extensive eczematous or infected skin involves the surgical removal of foreign material, devitalized tissue, or contaminated tissue from areas of the skin affected by eczema or infection. This procedure is performed to expose healthy tissue beneath the damaged skin, facilitating healing and recovery. The process typically includes the careful excision of the affected skin layers, ensuring that the surrounding healthy tissue is preserved as much as possible. Following the debridement, it is common practice to apply antibiotics or topical lubricants to the affected area to prevent infection and promote healing. The CPT® Code 11001 is specifically used to report the debridement of each additional 10% of the body surface area beyond the initial 10% covered by CPT® Code 11000. This means that if a patient requires debridement of more than 10% of their body surface area, the additional percentage is documented using Code 11001, which is billed separately in conjunction with the primary procedure code 11000.
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Debridement of extensive eczematous or infected skin is indicated for patients presenting with significant skin conditions that require intervention to promote healing. The following conditions may warrant this procedure:
The procedure for debridement of extensive eczematous or infected skin involves several key steps, which are detailed as follows:
Post-procedure care following debridement of extensive eczematous or infected skin is essential for ensuring proper healing and minimizing complications. Patients are typically advised to keep the affected area clean and dry, and to follow any specific instructions provided by their healthcare provider regarding wound care. Regular follow-up appointments may be necessary to monitor the healing process and to assess for any signs of infection or complications. Additionally, patients may be instructed on the use of topical treatments or medications to support skin recovery and manage any underlying conditions contributing to the skin damage.
Short Descr | DBRDMT ECZ/INFCT SKN EA ADDL | Medium Descr | DBRDMT EXTNSVE ECZMT/INFCT SKN EA ADDL 10% | Long Descr | 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) | Status Code | Active Code | Global Days | ZZZ - Code Related to Another Service | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Items and Services Packaged into APC Rates | ASC Payment Indicator | Packaged service/item; no separate payment made. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6A - Minor procedures - skin | MUE | 1 | CCS Clinical Classification | 169 - Debridement of wound, infection or burn |
This is an add-on code that must be used in conjunction with one of these primary codes.
11000 | MPFS Status: Active Code APC T ASC P3 Physician Quality Reporting CPT Assistant Article Illustration for Code Debridement of extensive eczematous or infected skin; up to 10% of body surface |
59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | GW | Service not related to the hospice patient's terminal condition | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | GC | This service has been performed in part by a resident under the direction of a teaching physician | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | LT | Left side (used to identify procedures performed on the left side of the body) | Q8 | Two class b findings | RT | Right side (used to identify procedures performed on the right side of the body) | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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Notes
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2024-01-01 | Changed | Short and Medium Descriptions changed. |
2009-01-01 | Changed | Code description changed |
Pre-1990 | Added | Code added. |
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