Wound Debridement

Question:

What CPT code would you use for a wound debridement when the operative notes says the wound will heal by secondary intention. Do you use a repair code?

Answer:

You would report a wound debridement code 1104X. The code selected would depend on anatomic location and total sq cm. You would not report a repair code. Secondary intention healing is when a wound is left open. No sutures or other materials are used to close the wound. Dressings are applied instead in order to protect the wound from contamination.