Q&A

What does CPT code 97602 mean?

What does CPT code 97602 mean?

97602 Removal of devitalized tissue from wound(s), non-selective debridement, without. anesthesia (e.g., wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing. care, per session.

Is 97602 covered by Medicare?

Currently, code 97602 is a status B (bundled) code on the Medicare Fee Schedule for physician’s services (MFSDB); therefore, separate payment is not allowed for this service.

What is CPT code for wound care?

Active wound care, performed with minimal anesthesia is billed with either CPT code 97597 or 97598. *2. Debridement of a wound, performed before the application of a topical or local anesthesia is billed with CPT codes 11042 – 11047.

Can nurses bill for wound care?

Only physicians and s (Nurse Practitioners (NPs), Clinical Nurse Specialists (CNSs), and Physician Assistants (PAs) can provide and bill E/M and CPT 11000 series codes when the services are appropriate and state licensure allows. These services may not be provided as incident-to services by hospital staff.

Does Medicare cover home wound care?

Does Medicare cover in-home wound care? Yes, but Medicare will only cover intermittent nursing services. Skilled nursing care could include in-home wound dressings.

Is wound closure included in debridement?

A complex wound repair code includes the repair of a wound requiring more than a layered closure (e.g., scar revision or debridement), extensive undermining, stents, or retention sutures. It may also include debridement and repair of complicated lacerations or avulsions.

What is the ICD 10 code for open wound?

S81. 802A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

When to use CPT code 97597 for wound care?

CPT codes 97597 and/or 97598 are typically used to bill recurrent wound debridements when medically reasonable and necessary. These two CPT codes are not limited to any specialty as long as it is performed by a health care professional acting within the scope of his/her legal authority.

What are codes 97601 and 97602 in CPT?

In CPT 2002, codes 97601 and 97602 are used to describe selective and non-selective debridement performed without the use of anesthesia and should not be reported in addition to codes 11040-11044. This is excellent information from Rebecca, as always. Tara, I believe you are auditing for urgent care centers in South Carolina?

What are the Medicare CPT codes for wound care?

Payment for low frequency, non-contact, non-thermal ultrasound treatment (97610) is included in the payment for the treatment of the same wound with other active wound care management CPT codes (97597-97606) or wound debridement CPT codes (11042-11047, 97597, 97598).

Who are the providers for wound care and debridement?

Providers should note that some codes are per session or per wound surface area, not per wound or site. Only physicians and NPP s (Nurse Practitioners (NPs), Clinical Nurse Specialists (CNSs), and Physician Assistants (PAs) can provide and bill E/M and CPT 11000 series codes when the services are appropriate and state licensure allows.