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Exact site for each wound treated Pre and post measurements in centimeters and the deepest tissue actually removed when excisional work is performed Instrument or method used for debridement Anesthesia and hemostasis details when surgical Area math that supports each add-on unit for 11045, 11046, 11047, or 97598 Device type for negative pressure and total treated area across all wounds Product name, quantity, fixation, and wastage for skin substitutes and the paired application code on the same claim Clear separation of work at distinct sites if a modifier is planned Alignment of diagnosis codes with the procedures reported Denial traps and fast fixes Trap 1 : Coding to exposed tissue rather than excised tissue in the excisional family Fix: Anchor selection to the deepest layer actually removed and name the instrument that performed the removal Trap 2 : Missing or unclear surface area math for add-on units Fix: Keep the calculation visible in the note so reviewers can match units to area increments Trap 3 : Wrong negative pressure family Fix: Pick by device type first
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