Does CPT 97597 have a global period?
The third major change is that all of the primary CPT debridement codes (97597, 11042, 11043, and 11044) now have a 0-day global period. Previously, CPT codes 11043 and 11044 were assigned a 10-day global period by the Centers for Medicare and Medicaid Services.
How do I bill CPT 97597?
If the aggregate wound size for the two wounds is 50 cm², then proper billing will be CPT code 97597 for the first 20 cm² and CPT code 97598 — unit two in box 24G on the CMS 1500 form or ECS equivalent — for the remaining 30 cm² (20 cm² plus 10 cm²). One would bill CPT 97598 in 20 cm² increments or portion thereof.
Can CPT 97597 be billed alone?
Dressings applied to the wound are part of the services for CPT codes 97597, 97598 and 97602 and they may not be billed separately. It is not appropriate to report CPT code 97602 in addition to CPT code 97597 and/or 97598 for wound care performed on the same wound on the same date of service.
What is the global period for skin excision?
Excisions have a global period, often 10 days, so suture removal and other routine follow-up care is included in the payment and should not be separately reported.
Does Medicare cover 97597?
Medicare reimburses physicians according to the Medicare Physician Fee Schedule (MPFS), which is based on Relative Value Units (RVUs) and payment varies by geographical region. Wound Care and Debridement are reported with CPT® codes 97597, 97598 and 11042-11047.
Is 97597 a physical therapy Code?
Physical Medicine and Rehabilitation (PM&R) Codes (i.e. 97597, 97598, 97602)
When do you use 97597?
CPT codes 97597 and 97598 are used for wet-to-dry dressings, application of medications with enzymes to dissolve dead tissue, whirlpool baths, minor removal of loose fragments with scissors, scraping away tissue with sharp instruments, debridement with pulse lavage, high-pressure irrigation, incision, and drainage.
What is a global period in dermatology?
Global period refers to payment for performance of a procedure and can be either 0 (000), 10 (010), or 90 (090) days. Most codes used by dermatologists fall under global periods of 0 and 10 days.
Is 97597 a therapy code?
CPT 97597, 97598, 97602 are considered “sometimes therapy”. These treatment codes may be provided without a therapy plan of care by physician/NPPs or as incident-to services.
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