Latisha Posted Mon 09th of April, 2018 10:57:32 AM
Patient presents with CVI with bilateral ulceration. The provider first see to the wound by debriding and applying topical medications then to applies a unna boot/ profore for the CVI. Is it correct to code 29580/29581 + 97597 + mod 50 for the procedure codes and the appropriate HCPCs codes?
SuperCoder Answered Tue 10th of April, 2018 08:02:00 AM
Yes, CPT 29580 or 29581 is appropriate to bill for Unna boot or Application of multi-layer compression system; leg (below knee), including ankle and foot respectively, according to the documentation. Also, CPT 97597 can be billed for Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area for first 20 sq cm or less and CPT 97598 for each additional 20 sq cm area. Modifier 50 can be added with both the CPT codes for bilateral services.