Shade Posted Sun 01st of March, 2015 18:49:13 PM
when a pt was seen for ulcer stage 2 wound care for both r heel and L sheen x 2. can we use the wound care code 97602 with modifier 50. please help in the best way to code this visit. thank you.
SuperCoder Answered Mon 02nd of March, 2015 03:38:05 AM
Thank you for the query.
Please let me know if debridement was performed with surgical instruments. Also, 50 modifier cannot be billed with this code.
CPT code 97602 can be used for removal of devitalized tissue from wounds when non selective debridement (chemical method, hydrogen peroxide, iodine, Pulsed lavage method etc.) method is performed.
CPT codes from wound debridement series (11042 - 11047) can be used if active debridement is performed with surgical instruments (forceps and scissors to remove infected or dead tissue material from the wound). Here code selection depends on the depth of the tissue removed e.g. for debridement up to level of subcutaneous tissue - CPT code 11042 is the correct CPT code. Also, for multiple wounds, sum the surface area of those wounds, that are at the same depth, but we do not combine sums for different depths.
Kindly let me know in case of any concern.