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!