tci Part B Insider - 2006 Issue 11

GENERAL SURGERY: You Can't Use A Modifier To Override Wound Care Edits

Anesthesia not separately payable with wound therapy, CMS saysIf you're using cutting-edge wound care techniques in the office, then you may be too advanced to receive any Medicare payment. Bad news: Active wound management codes 97602-97606 will become components of 556 different codes on April 1, including many codes from the integumentary system surgery section. They also become components of a large number of lesion destruction, replantation, fracture care, amputation and neuroplasty codes. You can use a modifier to override almost all of those edits.Meanwhile, 97602-97606 also become mutually exclusive with debridement codes 11000, 11010-11012 and CPT 11720...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.