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Does Medicare Cover Cpt 97602? Exploring Payment For Wound Care

Wound Care Coding: What You Should Know?

Does Medicare Cover Cpt 97602? Exploring Payment For Wound Care

Does Medicare Pay For Cpt Code 97010

Keywords searched by users: Does Medicare pay CPT 97602 cpt 97597, cpt 11043, cpt 11044, cpt 11042, cpt 97598, cpt 11047, 97602 cpt code reimbursement, cpt 97605

Who Can Bill For 97602?

Who is eligible to submit claims for CPT code 97602? Healthcare professionals, such as physicians, nurse practitioners (NPPs), and therapists, can bill for debridement services under the condition that they are operating within the scope of their practice and hold the necessary licensure. To bill for these services using the PM&R codes, specifically CPT 97597, 97598, and 97602, it is crucial that they are performed as part of a medically necessary skilled debridement procedure. This ensures that claims are accurately filed in accordance with established guidelines and regulations.

What Is Cpt Code 97602?

CPT code 97602 refers to a medical procedure involving the removal of devitalized tissue from wounds. This process, known as non-selective debridement, does not require anesthesia and can be accomplished through various methods, such as wet-to-moist dressings, enzymatic agents, abrasion, or even larval therapy. Additionally, this code includes the application of topical treatments to the wound, a comprehensive assessment of the wound’s condition, and the provision of instructions for the patient’s ongoing care, all completed in a single session. The information provided here pertains to the description and use of CPT code 97602 as of May 11, 2022.

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Wound Care Coding: What You Should Know?
Wound Care Coding: What You Should Know?
Resolved - Debridement | Cco Community
Resolved – Debridement | Cco Community
Killer Coding Tips For Cpt Code 11042, 11043 And 11045
Killer Coding Tips For Cpt Code 11042, 11043 And 11045

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Does Medicare Pay for CPT Code 97010
Does Medicare Pay for CPT Code 97010

The ICD-10-CM code must be linked to the appropriate procedure code. Currently, code 97602 is a status B (bundled) code on the Medicare Fee Schedule for physician’s services (MFSDB); therefore, separate payment is not allowed for this service.A physician, NPP or therapist acting within their scope of practice and licensure may provide debridement services and use the PM&R codes including CPT 97597, 97598 and 97602. These codes must only be billed for services that include medically necessary skilled debridement services.97602 Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (e.g., wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session.

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