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Nancy Posted 8 Year(s) 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.

SuperCoder Posted 8 Year(s) 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:||+LLC+%2810201%29%3A

Posted by Nancy, 8 Year(s). There are 2 posts. The latest reply is from SuperCoder.

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