CPT Codes for Active Wound Care Management

1
CPT Codes for Active Wound Care
Management
2
CPT Codes for Active Wound Care Management
Wound care is an essential aspect of healthcare,
and the management of wounds requires specialized
care to ensure proper healing and prevent
infections. Active wound care management is a
comprehensive approach to wound care that
involves a range of interventions and procedures.
The Centers for Medicare and Medicaid Services
(CMS) have established Current Procedural
Terminology (CPT) codes for wound care services.
This article will discuss the CPT codes for
active wound care management, including their
definitions and proper use. CPT codes for Active
Wound Care Management CPT codes are a set of
five-digit codes that are used to describe
medical procedures and services. The following
CPT codes are used for active wound care
management CPT code 97597 Debridement of a
wound, selective, without anesthesia (for
example, enzymatic, autolytic debridement),
including topical application(s), wound
assessment, and instruction(s) for ongoing care,
per session. Selective debridement involves the
removal of specific areas of damaged or necrotic
tissue. Healthcare providers can use different
methods for selective debridement, such as
enzymatic or autolytic debridement. The use of
topical applications, wound assessment, and
ongoing care instructions are also included in
this CPT code.
3
CPT Codes for Active Wound Care Management
CPT code 97598 Debridement of a wound,
non-selective, without anesthesia (for example,
wet-to-dry dressings, wound irrigation),
including topical application(s), wound
assessment, and instruction(s) for ongoing care,
per session. Non-selective debridement involves
the removal of all devitalized tissue, including
healthy tissue. Healthcare providers can use
different methods for non-selective debridement,
such as wet-to-dry dressings or wound irrigation.
This CPT code also includes the use of topical
applications, wound assessment, and ongoing care
instructions. CPT code 97602 Wound(s) care,
requiring the use of a durable medical equipment
(DME) provider, including the application of a
non-contact dressing to a wound using negative
pressure wound therapy, per session. This CPT
code is used when wound care requires the use of
durable medical equipment, such as a negative
pressure wound therapy (NPWT) device. The
application of a non-contact dressing to a wound
using NPWT is also included in this code. CPT
code 97605 Negative pressure wound therapy
(NPWT), including topical application(s), wound
assessment, and instruction(s) for ongoing care,
per session. NPWT is a therapeutic technique that
involves the application of negative pressure to
a wound. This technique promotes healing by
increasing blood flow and reducing edema. This
CPT code includes the use of NPWT, topical
applications, wound assessment, and ongoing care
instructions.
4
CPT Codes for Active Wound Care Management
CPT code 97606 Negative pressure wound therapy
(NPWT), including topical application(s), wound
assessment, and instruction(s) for ongoing care,
per session total wound surface area less than
or equal to 50 square centimeters. This CPT code
is used for NPWT when the total wound surface
area is less than or equal to 50 square
centimeters. CPT code 97607 Negative pressure
wound therapy (NPWT), including topical
application(s), wound assessment, and
instruction(s) for ongoing care, per session
total wound surface area greater than 50 square
centimeters. This CPT code is used for NPWT when
the total wound surface area is greater than 50
square centimeters. CPT code 97608 Removal of
devitalized tissue from wound(s), selective
debridement, without anesthesia (for example,
high-pressure waterjet with/without suction,
sharp selective debridement with scissors,
scalpel, and forceps), including topical
application(s), wound assessment, and
instruction(s) for ongoing care, per session.
This CPT code is used for the selective removal
of devitalized tissue from a wound using various
methods such as high-pressure waterjet with or
without suction, sharp selective debridement with
scissors, scalpel, and forceps. This CPT code
also includes the use of topical applications,
wound assessment, and ongoing care instructions.
5
CPT Codes for Active Wound Care Management

• Each CPT code represents a specific wound care
  service. Healthcare providers should use the
  appropriate CPT code based on the specific
  service provided.
• Proper Use of CPT Codes for Active Wound Care
  Management
• The proper use of CPT codes for active wound care
  management is critical for accurate billing and
  reimbursement. Healthcare providers should ensure
  that they use the appropriate CPT code for the
  specific wound care service provided.
  Documentation of wound care services is also
  essential to support the use of the appropriate
  CPT code. Healthcare providers should also be
  aware of Medicare guidelines for wound care
  services. For example, Medicare guidelines state
  that debridement services should be provided only
  when there is evidence of the presence of
  devitalized tissue. NPWT services should be
  provided only when there is evidence of an open
  wound that has not progressed toward healing
  despite standard wound therapy.
• In summary, wound care management is a critical
  aspect of healthcare that requires specialized
  skills and expertise. Active wound care
  management involves a range of interventions and
  procedures, including non-selective and selective
  debridement, negative pressure wound therapy, and
  the use of topical applications. CPT codes 97597,
  97598, 97602, 97605, 97606, 97607, and 97608 are
  used to describe specific wound care services
  accurately.

6
CPT Codes for Active Wound Care Management

• Healthcare providers should ensure that they use
  the appropriate CPT code for the specific wound
  care service provided and document wound care
  services to support the use of the appropriate
  CPT code. By using CPT codes appropriately,
  healthcare providers can help to ensure that they
  are providing high-quality care and receiving
  appropriate reimbursement for their services.
• About Legion Healthcare Solutions
• Legion Healthcare Solutions is a trusted name in
  the healthcare industry, offering reliable wound
  care billing services to healthcare providers.
  With our extensive experience and expertise in
  medical billing and coding, we can accurately
  code and bill for wound care services, ensuring
  that healthcare providers receive timely and
  appropriate reimbursement. Legion Healthcare
  Solutions understands the complexities involved
  in wound care billing and stays up-to-date with
  the latest changes in regulations and guidelines
  to ensure that their clients are in compliance.
  To know more about our wound care billing
  services, contact us at 727-475-1834 or email us
  at info_at_legionhealthcaresolutions.com

7
(No Transcript)