"Pre debridement measurements of this full-thickness stage IV ulcer were 9cm long by 8 cm wide by 4 cm deep. There was foul-smelling necrotic tissue at the superior margin and in the depth of the wound. The inferior margin was actually somewhat clean and with evidence of granulation tissue. That caudal or inferior margin was also only about 15 mm away from the anal verge. This also was then sharply debided with the Bovie such that the ultimate wound measurements were 9 cm long by now 10 cm wide by 7 cm deep. The debridement was into subcutaneous fat as well as musculature of the buttock, as well as exposed periosteum of the sacrum in several areas, but no bony debridement was done nor thought to be required as that periosteum appeared to be healthy…"
Surface area of wound before debridement: 9×8 = 72 sq cm
Surface area after debridement: 9×10 = 90 sq cm
Depth of debridement: (7-4) = 3 cm
So (90×3)-72 = 198 sq cm debrided
Am I calculating this right??
If so, I’m suing codes 11044, and 11047×9
Any insight welcome.
Thanks 