tci Medicare Compliance & Reimbursement - 2008 Issue 9

Coding Coach: Ask These 4 Questions Before Choosing Debridement Code

FAQ addresses coding conventions for wound care Patients who present to your practice for debridement pose a challenge for coders because there are misconceptions floating around about how to properly assign active wound care management (AWCM) codes 97597-97598. Add to that the confusion regarding selective versus surgical debridement, and you have a potential coding challenge on your hands. Question: Who can provide the 97597-97598 service? Answer: Nonphysician practitioners (NPPs) licensed to perform these procedures (for example, physician assistants, nurse practitioners, physical therapists) typically report 97597-97598. CPT designed 97597 (Removal of devitalized tissue from wound[s], selective debridement ... total wound[s] surface...

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