Debridement - Cardiovascular

Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:

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edit dx infobox
Category/Organ System:	Category: Cardio-Vasc OR (old)
Type:	Medical Problem
Main Diagnosis:	Other CV Procedures
Sub Diagnosis:	Wound Debridement
Diagnosis Code:	76329
Comorbid Diagnosis:	No
Charlson Comorbid coding (pre ICD10):	0
Program:
Status:

The diagnosis is categorized as "Cardio-Vasc OR" due to limitations when we first implemented it. We never had a category for plastics or similar. Will leave it there for now, since the move to ICD10 will take care of this.

How do dxs and relate?

• in other words: How to Skin grafting/Debridement and Wound Debridement relate in collection? Ttenbergen 11:34, 2012 November 26 (EST)
  • Both are done by Plastics. Skin grafting is done in the OR whereas debridement can be done in the OR or at the bedside.--CMarks 15:17, 2012 November 27 (EST)
    • so would the debridement in Skin grafting/Debridement be used only for skin grafting debridement, then?Ttenbergen 22:02, 2012 November 28 (EST)
      • Ususally but not always, a patient can have large deep areas with decubitus ulcers or fascitis that require extensive debridement but not always get skin graft.--FLindell 08:59, 2012 November 30 (EST)
        • So would you use 763.29 wound debridement, or 83700 - Skin grafting/Debridement? My point here is that I am not sure how they are different. Ttenbergen 13:09, 2012 December 3 (EST)
  • Skin grafting adds to the wound whereas debridement removes from the wound. They are completely different procedures.--CMarks 13:31, 2012 December 4 (EST)
    • Yes, I understand that grafting and debriding are different, pretty much opposite. What I was wondering is, is 837.00 for drbridement related to grafts only, then? And, does it mean that 763.29 should not be used for debridements related to grafts? Ttenbergen 11:18, 2012 December 5 (EST)

re. burns

• 837 refers to "burn" skin grafting and debridement. Burns are a specialty category that describe a specific patient population very different from those patients in the 763.29 category. ( Jkublick)
  • Not just for burns, see update at Skin grafting/Debridement. Ttenbergen 15:33, 2012 December
    • Hi Tina we were specifically told to use code 837 for BURNS ONLY /debridement and the other code is for all other types of debridement ie FOOT ULCER DEBRIDEMENTS Please clarify with Trish Thanks Shirley
      • I did confirm with Trish. See update to Skin grafting/Debridement. The burns definition has not been included at least since we moved to the wiki. This is the main reason I keep telling people to get rid of those books: they are wrong. If you keep using the dx booklet, you will be knowingly using wrong instructions. Please dispose of the old dx code books. There is a complete, searchable list of all diagnoses right in CCMDB.mdb. Please let me know if you would like me to show you how to use it. Ttenbergen 16:46, 2012 December 3 (EST)