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  • Article - Billing and Coding: Debridement Services (A56459)
    Draft Articles are works in progress and not necessarily a reflection of the current billing and coding practices Revisions to codes are carefully and thoroughly reviewed and are not intended to change the original intent of the LCD
  • CPT 11042 – Complete Guide to Subcutaneous Debridement, Billing . . .
    CPT 11042 is one of the most frequently used procedural codes in wound care in the USA healthcare system It covers excisional debridement of subcutaneous tissue (up to 20 sq cm) and serves as the foundation for correct coding when removing necrotic tissue
  • Active LCDs - JE Part B - Noridian
    Print the LCD or Article: Select the LCD or Article number in the table below to view the policy or article on the Medicare Coverage Database (MCD) Click on the blue download arrow on the right side of page when LCD or Article appears
  • CPT® Code 11042 - Debridement Procedures on the Skin - AAPC
    The Current Procedural Terminology (CPT ®) code 11042 as maintained by American Medical Association, is a medical procedural code under the range - Debridement Procedures on the Skin
  • Wound Care Billing Codes: CPT, ICD-10 Medicare Guide [2026]
    11042 is debridement of subcutaneous tissue 11044 is debridement of bone The difference is which tissue layer was surgically removed—not how deep the wound extends
  • LCDs Medical Policies
    Provisions of the Social Security Act are applied to specific services based on various regulations, NCDs established by the CMS, various CMS guidelines, and Local Coverage Determinations (LCDs) established by CGS
  • Wound Debridement CPT Codes 97597–11047 | Billing Guide
    What is the difference between CPT 97597 and 11042? 97597 covers selective debridement (epidermis dermis) 11042 covers surgical debridement (subcutaneous tissue or deeper)
  • LCD - Novitas Solutions
    Novitas will consider reasonable and necessary services for payment in the absence of an LCD, billing and coding article, NCD, or CMS manual instruction that limits coverage
  • CPT® Code 11042 - Coding Ahead
    What 11042 means: Surgical debridement of subcutaneous tissue (and includes epidermis dermis if removed to reach the target depth), first 20 sq cm or less It represents the procedure (sharp excision of devitalized tissue), not supplies or dressings
  • CPT Code 11042 Description, Scenarios Applicable Modifiers
    The CPT code 11042 is a wound care billing code and is used by medical billers when a healthcare provider surgically removes dead, damaged, or infected tissue from a wound





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