Advanced Applications of Home-Based Primary Care Workshop-Wound Management Coding Cheat Sheet

Wound Management Coding Cheat Sheet

Pdf Summary

The provided document outlines the use of Current Procedural Terminology (CPT) codes for documenting excisional debridement services in Home-Based Primary Care (HBPC). It details specific codes and their descriptions for different depths of tissue debridement:<br /><br />1. **CPT 11042**: Debridement of subcutaneous tissue (including epidermis and dermis, if performed), up to 20 square centimeters.<br />2. **CPT 11045**: Add-on code for each additional 20 square centimeters of subcutaneous tissue, to be used in conjunction with CPT 11042.<br />3. **CPT 11043**: Debridement involving muscle and/or fascia (including epidermis, dermis, and subcutaneous tissue, if performed), up to 20 square centimeters.<br />4. **CPT 11046**: Add-on code for each additional 20 square centimeters of muscle/fascia, to be used in conjunction with CPT 11043.<br /><br />**Reimbursement Details**: The document also provides details on the national non-facility payment amounts for 2022 along with the work Relative Value Units (wRVUs) for each CPT code. Specifically:<br />- **CPT 11042**: $133.93 with a wRVU of 1.01<br />- **CPT 11045**: $41.87 with a wRVU of 0.50<br />- **CPT 11043**: $239.48 with a wRVU of 2.70<br />- **CPT 11046**: $75.44 with a wRVU of 1.03<br /><br />**Coding Instructions**: The CPT manual advises that when debriding a single wound, documentation should reflect the depth of the deepest tissue removed. For multiple wounds at the same depth, sum the surface areas, but do not aggregate sums from varying depths.<br /><br />The document is issued by the Home Centered Care Institute and all rights are reserved. For more detailed information or queries, the institute can be contacted at the provided phone number and email, or through their website.

Keywords

CPT codes

excisional debridement

Home-Based Primary Care

CPT 11042

CPT 11045

CPT 11043

CPT 11046

reimbursement details

work Relative Value Units

coding instructions