tci ED Coding & Reimbursement Alert - 2013 Issue 5

Reader Question: Active Wound Care Codes Aren't Typical In the ED Setting

Question: I have a question about evaluation management levels for active wound care management. If a physician documents wound size, exudate etc. but does not perform debridement, how does assessment of wound affect evaluation management level? For example, is this considered part of the physical exam and would it be problem focused? I would think that any recommendations in regards to cleansing of wound etc. would be considered part of medical decision making. New Hampshire Subscriber Answer: There are a series of active wound management codes (97597-97606), but they would not typically be used in the ED setting. These...

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