tci ED Coding & Reimbursement Alert - 2007 Issue 1

READER QUESTION ~ Report 1 Code for Pressure Ulcer Treatment

Question: A patient came to the ED for treatment of a pressure ulcer on her lower back. The physician removed devitalized tissue from the ulcer using a waterjet and forceps. The surface area of the wound was 13 square centimeters. Can we report a code for the waterjet in addition to the debridement code?Montana Subscriber Answer: No, you cannot report the waterjet separately, because the active wound care codes bundle waterjet use into the service. On the claim, you should:- report 97597 (Removal of devitalized tissue from wound[s], selective debridement, without anesthesia [e.g., high-pressure waterjet with/without suction...

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