Debridement is the removal of infected, contaminated, damaged, devitalized, necrotic, or foreign tissue from a wound. The goal of debridement is to cleanse the wound, reduce bacterial contamination, and provide an optimal environment for wound healing or possible surgical intervention. The usual end point of debridement is removal of pathological tissue and/or foreign material until healthy tissue is exposed.
Debridement techniques include, among others, sharp and blunt dissection, curettement, scrubbing, and forceful irrigation. Surgical instruments may include a scrub brush, irrigation device, electrocautery, laser, sharp curette, forceps, scissors, burr, or scalpel Prior to debridement.
Debridement CPT Codes : 11000 – 11047
- 11000 & 11001 – For Eczematous Debridement
- 11004 – 11006 – For debridement of Soft tissue infection(i.e. upto skin, subcutaneous tissue and muscle,fascia level)
- 11010 – 11012 – Excisional Debridement
- 11042 – 11047 – Wound Debridement
defined as the “surgical removal or cutting away of devitalized tissue, necrosis, or slough,” which could be performed in the operating room, emergency room, or at the patient’s bedside.
Some surgical procedure codes include debridement as a part of the service. You may report a debridement as a separate service when the medical record indicates that a greater than usual debridement was provided. For example, if an extensive debridement of an open fracture was performed when usually a simple debridement would be performed, you report the additional service using a debridement code from the 11010-11012 range.
Divided according to location:
11010 – skin and subcutaneous level
11011 – Muscle , Fascia level
11012 – Bone level
11042 – 11047 – Wound Debridement
Divided according to – Depth of tissue –
11042 – skin and subcutaneous level
11043 – Muscle , Fascia level
11044 – Bone level
Diveded according to Surface Area –
11042,11043,11044 – upto 20 sq cm
11045, 11046 – More than 20 Sq cm
Coding tips – When reporting one wound, report the depth of the deepest level of tissue removed. When reporting multiple wounds, sum the surface area of the wound at the same depth. Do not combine sums of different depths.
Other Important Points to Remember while coding for debridement
- These debridement codes do not apply to debridement of burned surfaces. For debridement of burned surfaces, CPT codes 16000-16036 are reported.
- Do not assign additional codes for debridement when these procedures are an integral part of the total procedure performed. A debridement carried out in conjunction with another procedure is often, but not always, included in the code for the procedure.
- Do not use these codes for pressure ulcers, for Pressure ulcers – code 15920-15999