tci Part B Insider - 2005 Issue 6

Debridement: Don't Use New Debridement Codes For Physician Claims

You can make up to $250 extra per claim by using the existing codesWhen CPT 2005 included two new debridement codes, coders were excited but also confused. How did 97597 and 97598 mesh with existing debridement codes 11040-11044? And which should you use for your doctor's claims?Although 97597-97598 allow you to code based on the diameter of the wound debrided, those new codes are only intended for non-physicians, according to physician Bruce Rappoport with RCH Healthcare Advisors in Fort Lauderdale, FL. Some carriers, including First Coast Service Options, have issued policies stating that 97597-97598 are only for physical...

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