Overview of CPT Code 11055: Debridement of skin, subcutaneous tissue, and muscle, up to 10 sq cm

CPT Code 11055 refers to the surgical procedure of debridement, which involves the removal of dead, damaged, or infected tissue from the skin, subcutaneous tissue, and muscle, specifically for areas measuring up to 10 square centimeters. This procedure is essential in promoting healing and preventing infection in wounds.

When CPT Code 11055 is Used?

CPT Code 11055 is indicated in various clinical scenarios where debridement is necessary.

Chronic non-healing wounds due to diabetes or vascular insufficiency.
Infected or necrotic tissue in pressure ulcers.
Wounds with significant slough or eschar that impede healing.
Post-surgical wounds with necrotic tissue.

Symptoms Indicating This Procedure

Patients may present with several symptoms that necessitate debridement.

Presence of dead or necrotic tissue in a wound.
Increased pain or tenderness around the wound site.
Signs of infection such as redness, swelling, or discharge.
Delayed healing or non-healing of the wound.

Causes and Risk Factors

Understanding the causes and risk factors can help in identifying patients who may require this procedure.

Diabetes mellitus leading to poor wound healing.
Peripheral vascular disease affecting blood flow.
Pressure ulcers due to prolonged immobility.
Trauma or surgical wounds that become infected.

Diagnostic Tests Before Procedure

Certain diagnostic tests may be performed to assess the wound and guide treatment.

Wound cultures to identify infection.
Blood tests to check for underlying conditions like diabetes.
Imaging studies to assess the extent of tissue damage.

Procedure Description

The debridement procedure involves several key steps.

Patient is positioned comfortably and the area is cleaned.
Local anesthesia is administered to minimize discomfort.
Using surgical instruments, the surgeon carefully removes necrotic tissue.
Bleeding is controlled, and the wound is irrigated to remove debris.
The wound may be dressed appropriately after debridement.

Preparation for the Procedure

Patients should follow specific guidelines to prepare for the debridement.

Discuss any medications with your healthcare provider.
Avoid blood thinners or certain medications as advised.
Arrive with the wound area clean and free of any ointments.
Follow any fasting instructions if sedation is planned.

Recovery and Aftercare

Post-procedure care is crucial for optimal healing.

Monitor the wound for signs of infection.
Keep the area clean and dry, changing dressings as instructed.
Follow up with your healthcare provider for wound assessment.
Pain management may include over-the-counter medications.

Possible Complications

While debridement is generally safe, there are potential risks.

Infection at the wound site.
Excessive bleeding during or after the procedure.
Delayed healing or recurrence of necrotic tissue.
Scarring or changes in skin pigmentation.

Secure, compliant, and built for trust

HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.

Learn more

Post-Procedure Follow-Up

Regular follow-up is essential to ensure proper healing.

Initial follow-up within 1 week post-debridement.
Subsequent visits every 1-2 weeks until healing is adequate.
Additional assessments may be needed if complications arise.

Alternative Treatments

There are non-surgical options that may be considered.

Topical wound care with specialized dressings.
Negative pressure wound therapy.
Hyperbaric oxygen therapy for chronic wounds.
Antibiotic therapy for infected wounds.

Home Care Tips

Patients can take steps at home to aid recovery.

Keep the wound clean and dry.
Avoid picking at scabs or disrupting healing tissue.
Follow dietary recommendations to support healing.
Stay hydrated and maintain a balanced diet.

Patient Education & Prevention

Educating patients on prevention can reduce recurrence.

Manage chronic conditions like diabetes effectively.
Practice good hygiene and skin care.
Use pressure-relieving devices for at-risk individuals.
Seek prompt medical attention for any wounds.

Billing and Coding Information

CPT Code: 11055

Category: Surgical Procedures

Common Modifiers:

25 - Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure.
59 - Distinct procedural service.