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Modifier 76 with 11042 and 11045, 11043 and 11046, and 11044 and 11047

Hi!

I do physician billing and have a question regarding procedures 11042, 11045; 11043, 11046; and 11044, 11047

If a physician is debriding a wound and has debrided a total of 5 20’s – what would be the correct way to bill?

Example:

Physician debrides a necrotic pressure ulcer of the right thigh. On his super bill, he has marked to bill 1 11043 and 4 11046. How would you code this? 11043, 11046 x 4? 11043, 11046-59 x 4? or 11043, 11046-76 x 4?

There are only two of us that have taken or are taking coding classes at this time. We are both unsure on how to do this, but both disagree with our understanding of the courses we’ve taken.

Any help would be greatly appreciated!

Medical Billing and Coding Forum

CPT 27884 and 11044 – further excision of bone prior to secondary wound closure

Good Afternoon:

Patient had a BKA and returned to the operating room for stump site irrigation, debridement and secondary closure. The physician dictated the following:

"…Then, debridement of the soft tissues were carried out along with the skin. The fibula was also excised about a centimeter proximal to the tibial cut and tibial cut was beveled.

I’d like to use 27884 and 11044 but can’t because of column 2/1 misuse edits.

Any suggestions on how to code this so the physician is paid for the secondary closure, irrigation and, specifically, the further excision of bone…

Thank You – Melissa

Medical Billing and Coding Forum