What does CPT code 97602 mean?

wound via enzymatic debridement, there is one relevant CPT code: 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.

Who can bill for 97602?

ANSWER: CPT code 97602 includes the wound(s) assessment. Therefore, when a physician/non-physician practitioner evaluates the patient in a provider-based wound care clinic, report the professional E/M code for the hands-on services of the physician/non-physician practitioner.

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 the 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.

How do you bill for wound debridement?

Debridement of a wound, performed before the application of a topical or local anesthesia is billed with CPT codes 11042 – 11047. Wound debridements (11042-11047) are reported by depth of tissue that is removed and by surface area of the wound.

How do you bill for wound care services?

Typically bill CPT 97597 and/or CPT 97598 for recurrent wound debridements when medically reasonable and necessary. health care professional acting within the scope of his/her legal authority.

How do you bill for dressing changes?

When performed by a physician, dressing changes for burns and debridement of burn tissue should be reported using codes 16020–16030, depending on the size of the burn.

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 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.

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?