by Find-A-Code™
Jan 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:
- Skilled nurse – 0559
- Physical therapist – 042x
- Occupational therapy – 043x.
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.
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