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Administrative Consultant Service, LLC

Providing consultation to improve clinical and financial outcomes of health care.

Excisional vs. Non-Excisional Debridement

What a Difference a Word Can Make!

Volume 1, April 2010

Incorrectly reported debridement procedures are prime targets for recoupment under RAC reviews. The RAC reviewers based their documentation requirements on the following coding guidelines: "Clear and concise documentation is required in order to accurately report excisional debridement...Documentation of excisional debridement should be very specific regarding the type of debridement...The use of a sharp instrument does not always indicate that an excisional debridement was performed." (CC08Q1) RAC reviewers have said...Any debridement of the skin that does not meet the criteria noted above or is described in the medical record as debridement and no other information is available should be coded as non-excisional."

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DID YOU KNOW? YOUR DOCUMENTATION CAN HELP JUSTIFY INCREASED REIMBURSEMENT AND LENGTH OF STAY.

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