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The CPT® Code 16025 refers to the medical procedure involving the treatment of partial-thickness burns, which may include both the application of dressings and the debridement of affected tissue. Partial-thickness burns are characterized by damage to the epidermis, which is the outermost layer of skin, as well as the dermis, the layer beneath it. This type of burn can result from various causes, including thermal, chemical, or electrical sources. The procedure is performed either as an initial treatment or as a subsequent follow-up to monitor and manage the healing process. During the treatment, the physician assesses the burn area and inquires about the circumstances surrounding the injury. The affected area is typically cleansed with an antiseptic solution to prevent infection, and any foreign materials present are carefully removed. Additionally, any necrotic or damaged tissue is debrided to promote healing and reduce the risk of complications. After the necessary interventions, a soothing cream may be applied to alleviate discomfort, and the burn is then covered with a sterile dressing to protect it from further injury and contamination. This code is specifically used for medium-sized burns, which can involve significant areas of the body, such as the entire face or one whole extremity, or burns that cover between five to ten percent of the total body surface area (TBSA). For smaller burns, a different code (CPT® 16020) is used, while larger burns that exceed ten percent of TBSA are coded with CPT® 16030.
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The procedure associated with CPT® Code 16025 is indicated for the treatment of partial-thickness burns that meet specific criteria regarding size and severity. The following conditions warrant the use of this code:
The procedure for CPT® Code 16025 involves several critical steps to ensure effective treatment of the burn. Each step is essential for promoting healing and preventing complications:
Post-procedure care for patients treated under CPT® Code 16025 involves monitoring the burn site for signs of infection and ensuring proper healing. Patients are typically advised on how to care for the dressing and when to change it, as well as any signs or symptoms that should prompt immediate medical attention, such as increased redness, swelling, or discharge from the burn site. Follow-up appointments may be scheduled to assess the healing process and determine if further treatment is necessary. Additionally, patients may receive guidance on pain management and the importance of keeping the burn area clean and protected during the recovery period.
| Short Descr | DRESS/DEBRID P-THICK BURN M | Medium Descr | DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM | Long Descr | Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area) | Status Code | Active Code | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6A - Minor procedures - skin | MUE | 1 | CCS Clinical Classification | 169 - Debridement of wound, infection or burn |
| GC | This service has been performed in part by a resident under the direction of a teaching physician | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 77 | Repeat procedure by another physician or other qualified health care professional: it may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 77 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | AG | Primary physician | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | CR | Catastrophe/disaster related | GF | Non-physician (e.g. nurse practitioner (np), certified registered nurse anesthetist (crna), certified registered nurse (crn), clinical nurse specialist (cns), physician assistant (pa)) services in a critical access hospital | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | GW | Service not related to the hospice patient's terminal condition | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2011-01-01 | Changed | Short description changed. |
| 2006-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
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