Billing Negative Pressure Wound Therapy (NPWT) (disposable device)

by  Find-A-Code
January 4th, 2018

Per CMS: Disposable NPWT services are billed using the following Current Procedural Terminology® (CPT®) codes:

97607 - Negative pressure wound therapy, (e.g., vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters.

97608 - Negative pressure wound therapy, (e.g., vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters.

The HHA reports the CPT® code with one of three revenue codes, depending on the practitioner that provided the service:

When using revenue codes 042x or 043x, the HHA should not use the therapy plan of care modifiers (GO or GP) for NPWT services.

When furnishing NPWT using a disposable device, both the device and the services associated with furnishing the device are paid for separately

When a HHA furnishes NPWT using a disposable device, the HHA is furnishing a new disposable NPWT device.

References:

Billing Negative Pressure Wound Therapy (NPWT) (disposable device). (2018, January 4). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/billing-negative-pressure-wound-therapy-npwt-disposable-device-32761.html

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