11/30/2022

Correct Billing for Sharp Selective Wound Debridement Under 20 sq cm-Pressure Ulcer of Metatarsal Head

My patient has an ulcer left foot 1st metatarsal head.The dimensions are 2.5 x 1.0 x 1.2 cm with tan slough,non-odorous drainage and pain.How is this billed?

The CPT code that would be billed for sharp selective wound debridement for a wound under 20 sq cm would be 97597 (Removal of devitalized tissue from wounds, selective debridement, without anesthesia, wound assessment, topical applications, instructions for ongoing care, total wound surface area first 20 sq cm)

A pressure ulcer of a metatarsal head can have several possible ICD-10 codes, depending on the stage of the ulcer:

• L89.890: Pressure ulcer of other site, unstageable
• L89.891: Pressure ulcer of other site, stage 1
• L89.892: Pressure ulcer of other site, stage 2
• L89.893: Pressure ulcer of other site, stage 3
• L89.894: Pressure ulcer of other site, stage 4
• L89.896: Pressure-induced deep tissue damage of other site
• L89.899: Pressure ulcer of other site, unspecified stage