Tammy Posted Mon 18th of July, 2016 13:19:04 PM
PT IS DIAGNOSISED WITH FOURNIERS GANGRENE (N49.3)HAS A "PULSE EVAC WASHOUT AND A PLACEMENT OF WOUND VAC". THE NEXT DAY PHYSICIAN DOES AN "INCISION DEBRIDEMENT NECROTIC MUSCLE/TISSUE AND WOUND VAC PLACEMENT" WHAT CPT CODES WOULD I USE AND DO THEY NEED MODIFIERS? THANKS...
SuperCoder Answered Tue 19th of July, 2016 02:42:38 AM
Thanks for your questions. Please use the following CPT codes:
1) 97605- Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square cm.
2) 97606- ... total wound(s) surface area greater than 50 square cm.
3) 97597- 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; first 20 sq cm or less.
4) 97598- ...each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure).
These are size based codes so please be careful while using these. Append modifier 59 with 97605 and 97606 if documentation supports usage of modifier. Else 97605 and 97606 are included into 97597 and 97598.
Please feel free to write to us if you have any concern.