AHA Coding Clinic® for HCPCS - 2006 Issue 1; FOR your INFORMATION

Coding of wound care services

When wound care services are provided, hospitals should bill these services using the CPT codes listed below. When such services are performed either by a qualified therapist or a physician or a nonphysician practitioner under an approved therapy plan of care, providers must attach an appropriate therapy modifier (i.e, GP for physical therapy, GO for occupational therapy, and GN for speech-language pathology). When provided by a qualified therapist, the therapy revenue code also needs to be reported (i.e., 0420, 0430, or 0440). When these services are not provided by a qualified therapist, physician, or a nonphysician practitioner...

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