tci Outpatient Facility Coding Alert - 2015 Issue 4

You Be the Coder: Know How to Wrap the Wound

Question: A patient was seen for wound care of a stage-2 for both her right heel and left shin x 2. Can we use the wound care code 97602 with modifier 50?  Oklahoma Subscriber Answer:  Before selecting the procedure code, verify whether the physician performed debridement with surgical instruments.  For example, you can use CPT® code 97602 (Removal of devitalized tissue from wound[s], non-selective debridement, without anesthesia [e.g., wet-to-moist dressings, enzymatic, abrasion], including topical application[s], wound assessment, and instruction[s] for ongoing care, per session) for removal of devitalized tissue from wounds when the physician performs...

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