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Wound care codes of 97597 and 97598

Super Posted Thu 10th of February, 2011 21:15:09 PM

Anyone having problems with Medicare and the CCI Edits for these two codes?

SuperCoder Answered Fri 11th of February, 2011 08:35:04 AM

Code 97597 is a column 2 code for 97598, These cannot be billed together in any circumstances.

Sherry Answered Thu 17th of February, 2011 15:32:07 PM

Sanjit,

CPT code 97597 and 97598 absolutely can be billed together. I pulled up NCCI edits through medicare's website and they are billable together. Code 97597 is Debridement of the first 20 sq cm or less and 97598 is an add-on code stating each additional 20 sq cm. In the 2011 CPT book for professionals it states use 97598 in conjunction with 97597...

SuperCoder Answered Thu 17th of February, 2011 20:13:49 PM

Hi Sherry,

I am sorry ! I should have explained it properly. I went by CCI edits output, and just pasted the output as it is.

Yes, 97597 and 97598 can be billed together. But, 97598 can not be billed without billing 97597.

Thanks for clarifying the issue.

Sherry Answered Thu 17th of February, 2011 20:27:42 PM

Sanjit,

Thank you for answering that. How does your CCI edits get updated because thats the wrong information on there as well.

SuperCoder Answered Thu 17th of February, 2011 21:03:31 PM

Our CCI edits get updated every quarter.

This is an issue where the message output in our CCI edits seems to be lacking proper explanation in context of Add on codes. There seems to be some programmatical issue and will be taken care of ASAP.

Sherry Answered Fri 18th of February, 2011 01:17:10 AM

Thank you Sanjit for looking into this matter for me.

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