{"id":8486,"date":"2019-02-05T11:30:23","date_gmt":"2019-02-05T06:00:23","guid":{"rendered":"https:\/\/www.medicalbillersandcoders.com\/blog\/?p=8486"},"modified":"2026-05-11T10:58:50","modified_gmt":"2026-05-11T10:58:50","slug":"top-7-challenges-with-wound-care-medical-coding","status":"publish","type":"post","link":"https:\/\/www.medicalbillersandcoders.com\/blog\/top-7-challenges-with-wound-care-medical-coding\/","title":{"rendered":"Top 7 Challenges with Wound Care Medical Coding"},"content":{"rendered":"

Medical necessity denials traditionally focus on high-dollar<\/a> MS-DRGs, such as those for hip and knee replacements; other MS-DRGs may also soon become targets. We have identified some of the challenges in\u00a0Wound Care Medical Coding.<\/p>\n

Healthcare providers are likely to perform accurate medical coding under ICD-10 and that is when having an outsourcing medical billing coding partner like Medical Billers and Coders<\/strong> (MBC)<\/strong> will be beneficial.<\/p>\n

Documentation<\/a> lacks the clinical substance necessary to support medical necessity, and it doesn’t capture a physician’s clinical judgment and medical decision-making for performing the procedure.<\/p>\n

Doctors have been conditioned to document excisional debridement, but if you look at what they need for their own payment, they need to do a lot more than that.<\/p>\n

To do wound care medical coding for inpatients frequently lacks sufficient documentation<\/a>.<\/p>\n

It has become crucial than ever for wound care providers to make sure that they are doing\u00a0coding to the utmost specificity and following all the ICD-10 guidelines.<\/p>\n

\"Legacy<\/a><\/p>\n

While it is still unclear exactly how forgiving CMS was under this grace period, it is possible that some things that we’re working on in the first year of ICD-10<\/a> may not continue to be satisfactory.<\/p>\n

Challenges With Wound Care Medical Coding<\/strong><\/h2>\n