tci General Surgery Coding Alert - 2005 Issue 5
Limit Size-Based Debridement To Nonphysician Staff
Incorrect 97597-97598 claims could mean up to $250 lessFor your surgeon's debridement services, you should turn to integumentary system codes 11000-11044 rather than size-based wound care codes 97597-97598. Reason: Several months after CPT released 97597-97598, payers have decided that you shouldn't bill these services for surgeons or other physician providers. Check Eligibility Before Reporting 97597-97598 Although 97597 (Removal of devitalized tissue from wound[s], selective debridement, without anesthesia [e.g., high-pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps], with or without topical application[s], wound assessment, and instruction[s] for ongoing care, may include use of a...
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