Wound Care Center

“I was working at the local wound care clinic last week when this scenario presented itself. The patient was referred from the emergency room for follow for a wound. His wound was a deep wound at the medial malleolus of the right ankle. The posterior tibial tendon was right there, as clear as day. There was necrotic and fibrotic tissue around the tendon. I debrided the area, including the tendon, and all surrounding non-viable tissue. The patient had a superficial wound at the right hallux. Here are my questions: 1. Can we bill CPT 11043 and CPT 11044 in a wound care center? 2. Are we allowed to bill more than one wound debridement during the same visit? 3. Can I bill an E/M for the hallux wound, if only debrided the ankle wound?”