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  1. User id : 3578 Posted 4 years ago

    AMA CPT assistant states a physician cannot bill for a wound vac change- 97605. Our Medicare payer pays it. I know that doesn't mean it's right. This is only after surgery not billing with another surgical code, I know it's inclusive. I would like to know if anyone has any other documentation regarding this matter.

  2. SuperCoder Posted 4 years ago

    I came across some information regarding these CPT codes from the "Cahaba Government Benefit Administrators, LLC" I.e. 97605, and 97606 are untimed and are only covered as 1 unit per date of service. Should not be billed on the same date of service as 97605 and 97606, unless a separate wound is documented. You can also find more details from this site mentioned below:

    http://www.cms.hhs.gov/mcd/viewlcd.asp?lcd_id=30004&lcd_version=11&basket=lcd%3A30004%3A11%3AMedicine%3D%3D++Debridement+Services%3AMAC+-+Part+A%3ACahaba+Government+Benefit+Administrators||+LLC+%2810201%29%3A

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  • Posted by 3578, 4 years ago. There are 2 posts. The latest reply is from .