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Official Description

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)

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

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.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

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:

  • Eczematous Skin - Patients with extensive eczema may develop areas of skin that are severely damaged, necessitating debridement to remove affected tissue and promote healing.
  • Infected Skin - Infections in the skin can lead to the presence of necrotic or devitalized tissue, which must be removed to prevent further complications and to allow for effective treatment of the infection.
  • Extensive Skin Damage - Any condition resulting in significant skin damage that affects more than 10% of the body surface area may require debridement to restore skin integrity and function.

2. Procedure

The procedure for debridement of extensive eczematous or infected skin involves several key steps, which are detailed as follows:

  • Assessment of the Affected Area - The healthcare provider begins by thoroughly assessing the extent of the eczematous or infected skin. This includes determining the percentage of body surface area affected and identifying any areas of necrotic or devitalized tissue that require removal.
  • Preparation of the Patient - The patient is prepared for the procedure, which may include cleansing the affected area and administering local anesthesia if necessary to minimize discomfort during the debridement process.
  • Debridement Process - Using appropriate surgical instruments, the provider carefully removes the foreign material, devitalized tissue, and any contaminated skin. The goal is to expose healthy tissue while minimizing trauma to the surrounding areas. This step may involve multiple passes to ensure thorough removal of all affected tissue.
  • Application of Post-Debridement Treatment - After the debridement is complete, the provider applies antibiotics or topical lubricants to the exposed area. This is crucial for preventing infection and promoting optimal healing of the skin.

3. Post-Procedure

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
Date
Action
Notes
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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