Part B Questions & Answers

Question: We are a hospital based outpatient therapy department. Can we bill for negative pressure wound therapy under the CPT® code of "97605" and be reimbursed for this procedure (Medicare)? This would be the only service provided to this patient (wound vac/wound care).

Answer: Rick Gawenda, PT, president of Gawenda Seminars & Consulting Inc. responded to this query sent by one of our subscribers by saying, "According to the Centers for Medicare and Medicaid 2012 Physician Fee Schedule, 92605 reimburses $38.30 and 92606 reimburses $40.73 in the state of Indiana."