Coding, Classification and Reimbursement

How to code Cross hatching for Wound Care

  • 1.  How to code Cross hatching for Wound Care

    Posted 11-27-2018 16:41
    ​Patient has wound on the heel.  The physician documents that cross hatching was performed in Outpatient Wound Care Clinic.
      They are not getting ready to do a skin graft OR any other procedure.
      Physician felt that this would help existing skin to heal.
    I need ICD 10 procedure code for this.  Is this considered a type of debridement?  I cannot find documentation for how to code.

    Mary Tallantball
    Him Manager

  • 2.  RE: How to code Cross hatching for Wound Care

    Posted 11-28-2018 12:11
    I did some research on cross hatching earlier this year after getting a question on a webinar.  Cross hatching is the process of cutting into, but not completely through, an eschar in a train track or tic-tac-toe pattern. This allows for better penetration of enzymes for chemical debridement.  No actual tissue is removed during this process.  If they followed the cross hatching with enzymatic debridement, I would just assign an Extraction code for the nonexcisional debridement.  But if all he did was the cross hatching, the Division root operation seems appropriate because he's dividing the wound for better healing.  

    Kristi Pollard, RHIT, CCS, CPC, CIRCC
    Senior Coding Consultant and AHIMA-Approved ICD-10-CM/PCS Trainer
    Haugen Consulting Group