A: Yes, that’s absolutely correct. I would however try to encourage them to document this information.
Q: Let's say my provider has an open fracture of an arm and he documents that he cleaned out gravel. Is that an example of when I could code for one of those debridement codes you mentioned?
A: Yes, you would need to verify how deep he went in the documentation in order to choose the correct CPT.
Q: If my provider documents that he does a percutaneous pinning but there is no percutaneous code, Can I use one of the open codes or should I use a closed code.
A: In this instance, it would be appropriate to use an unlisted code if there is not a CPT code to describe the procedure performed.
Mary Bort, CPC, CPMA, CANPC, CASCC, COSC
During her free time, she loves to do crafts, enjoys the outdoors, and the Broncos! She has 4 daughters, and 10 grandchildren which light up her life.