2025 CPT code 11001
Effective Date: N/A Surgery - Integumentary System Surgery Feed
Debridement of extensive eczematous or infected skin; each additional 10% of the body surface, or part thereof.
Modifiers may be applicable.Modifier 59 may be used to indicate a distinct procedural service. For example, if debridement is performed at different depths during the same encounter.
Medical necessity for debridement is based on the presence of infected, necrotic, or devitalized tissue that impairs wound healing.Documentation should support the presence of such tissue and the clinical rationale for debridement.
The physician prepares the patient, administers anesthesia, and uses surgical instruments to remove the infected or diseased skin tissue.The procedure involves cleaning the area, removing dead tissue until healthy bleeding occurs at the edges, controlling bleeding, and applying an antibiotic and dressing.
In simple words: This is an add-on procedure where the doctor removes dead tissue from additional skin areas affected by eczema or infection, beyond the initial area treated.It's used when more than 10% of the body surface needs this treatment during the same visit.
Debridement of extensive eczematous or infected skin; each additional 10% of the body surface, or part thereof (List separately in addition to code for primary procedure) (Use 11001 in conjunction with 11000)
Example 1: A patient presents with severe eczema covering 15% of their body surface. The physician performs debridement on the affected areas. 11000 is reported for the first 10% and 11001 is reported for the additional 5%., A patient has a large infected wound covering 25% of a limb.The physician performs surgical debridement.11000 is reported along with two units of 11001 (one for each additional 10% of body surface area debrided)., A patient with diabetes has multiple infected ulcers on their legs totaling 18% of their body surface area. During a single encounter, the provider performs debridement of all ulcers.11000 is reported for the first 10%, and 11001 is reported for the additional 8%.
Documentation should include the total percentage of body surface area debrided, the depth of debridement, the location and description of the wound(s), and the reason for the debridement (e.g., infection, eczema).
** This code is for debridement of skin only.Debridement of other tissues (e.g., subcutaneous tissue, muscle, bone) uses different codes (11042-11047). Always refer to iFrameAI product and other credible sources like CMS and AMA guidelines for updated and accurate information.
- Specialties:Dermatology, General Surgery, Plastic Surgery, Podiatry
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center, Inpatient Hospital, Skilled Nursing Facility