Surgical debridement requires accurate procedure coding, appropriate clinical documentation, and clear support for medical necessity. Incomplete medical records, insufficient documentation, or coding issues can create challenges during claim review and may contribute to reimbursement denials.
This webinar examines surgical debridement coding, including applicable CPT codes and add-on codes, with a focus on documentation requirements and the information needed to support medical necessity. Participants will explore the importance of aligning procedure reporting with the services documented in the medical record.
The session also addresses indications for sharp surgical debridement and documentation considerations that can affect billing and claim review. It discusses potential fraud and abuse concerns associated with surgical debridement billing, along with the Medicare Targeted Probe and Educate (TPE) program and its relevance to provider education and claim review.
In addition, the webinar covers ICD-10-CM coding considerations for non-pressure wounds, including the importance of specificity when documenting and reporting wound diagnoses. Participants will gain an understanding of how diagnosis coding, procedure coding, and supporting clinical documentation work together to support appropriate claims submission.
Whether you are involved in medical coding, billing, clinical documentation, compliance, auditing, or revenue cycle management, this session provides practical guidance on surgical debridement documentation and strategies for reducing avoidable denials.
By strengthening documentation practices and understanding common billing and coding concerns, healthcare professionals can better support medical necessity, improve claim accuracy, and identify potential issues before claims are submitted.
After completing this webinar, participants should be able to:
After completing this webinar, participants should be able to:
Dorothy Steed is an Independent Healthcare Consultant and Educator. She has served as a Medicare specialist and a physician audit supervisor for hospital systems with 50 years of experience in healthcare. She is an instructor at a state technical college and provides auditing & training in both facility and physician services. She is credentialed in medical coding, medical billing, medical auditing, utilization management, healthcare management, healthcare compliance, clinical documentation improvement, revenue cycle and patient accounts. Additionally, she has participated in multiple healthcare audits and investigations for both plaintiff and defendant She has provided review services for 2 state QIO organizations & served as an expert witness in several legal disputes. She holds a Master’s degree in Strategic Leadership Development.