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Escharotomy Procedural Cross-Walking CPT to ICD-10-PCS

November 10th, 2017 - Brandon Dee Leavitt CPC, QCC
Categories:   Billing   Claims  
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An Escharotomy is used for "local treatment of burned surface" per the AMA Guidelines, when incisions are performed on the burn site. Notice, when cross-walking 16035 or 16036 to inpatient codes, Find-A-Code crosswalks lead to Body System HOperation 8 - Division of the skin, and Operation N - Release of the skin.

A division or release of the skin would be a more literal crosswalk of an Escharotomy; however, Body Systems J, W, X, and Y provide less-direct crosswalk options: insertion, inspection, and revision of body parts or tissue substitutes. These codes represent circumstances a physician might come across while performing an Escharotomy (i.e., running into a synthetic tissue substitute in the subcutaneous tissue, and performing a revision), but do not necessarily represent the actual performing of the Escharotomy. As previously stated, the Escharotomy is represented by Body System HOperation 8 - Division of the skin, and Operation N - Release of the skin.

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