Coding, Measuring, Claims Processing, and More ... - Wounds

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7/12/2011Deleted CPT ® Codes 11040 and 11041 –Use Revised Codes 97597 and 97598 for Medical DebridementDeleted Codes1104011041Revised CPT ® Codes97597+9759811© 2011 Healthpoint Biotherapeutics HS1092-05112010 CPT ® Codes for Selective DebridementCPT ® Code97597Total wound(s)surface area ≤20 sq cm97598Total wound(s)surface area >20 sq cmDescriptionRemoval of devitalized tissue from wound(s),selective debridement, without anesthesia(e.g., high pressure waterjet with/withoutsuction, sharp selective debridement withscissors, scalpel and forceps),with or without topical applications(s), woundassessment, and instruction(s) for ongoing care,may include use of a whirlpool, per session;12© 2011 Healthpoint Biotherapeutics HS1092-05116
7/12/20112011 CPT ® Codes for Medical(Formerly Selective) DebridementCPT ® Code97597Total wound(s)surface area; first20 sq cm or less+97598Total wound(s)surface area;each additional20 sq cm, or part thereofDescriptionDebridement (eg, high pressure waterjetwith/without suction, sharp selectivedebridement with scissors, scalpel, and forceps),open wound, (eg, fibrin, devitalized epidermisand/or dermis, exudate, debris, biofilm),including topical application(s), woundassessment, use of a whirlpool, when performedand instruction(s) for ongoing care, per session Add-on codes are listed separately, in addition tobase procedure code13© 2011 Healthpoint Biotherapeutics HS1092-05112010 and 2011 CPT ® Code forNon-Selective DebridementCPT ® Code97602DescriptionRemoval of devitalized tissue from wound(s), nonselectivedebridement, without anesthesia (eg, wetto-moistdressings, enzymatic, abrasion), includingtopical applications(s), wound assessment, andinstruction(s) for ongoing care, per session Per session (not size-dependent) HOPDs use as long as they do not bill for another medical orsurgical debridement of the same wound during that visit14© 2011 Healthpoint Biotherapeutics HS1092-05117
Page 1 and 2: 7/12/2011Debridement 2011: An Updat
Page 3 and 4: 7/12/2011Disclaimer (continued)Phys
Page 5: 7/12/20112011 New Surgical Debridem
Page 9 and 10: 7/12/2011Size and Code Selection Cl
Page 11 and 12: 7/12/2011Use Appropriate Codes When
Page 13 and 14: 7/12/20112010 vs. 2011 National Ave
Page 15 and 16: 7/12/2011Medicare Coverage29© 2011
Page 17 and 18: 7/12/2011Summary: Debridement 2011:

Coding, Measuring, Claims Processing, and More ... - Wounds

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