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wound care charge 97602 -non selective debridement

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Hello all,

              I have read that this code is not a stand alone billable service

under medicare and it is to be bundled with other services (selective

debridement, whirlpool...)  Here is my question; I work for a critical access

hospital that is cost based reimbursed versus MPFS and or billing department

said it doesn't matter if we charge this code or the alternative office

evaluation/management cpt 99211.....

 

are there other critical access outpt departments still billing out CPT 97602

 

What are thoughts of billing office statement?

 

thanks for any help,

 

Mike Butterfield OT

Director of Rehab Services

Penobscot Valley Hospital

Lincoln,ME

 

 

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We have been advised not to use this code, and I also work for a CAH. We

were told that medicare does not recognize this code as it does not require

a " skilled " professional to provide this service. We are looking into

establishing an outpatient wound care clinic that will be serviced by a RN

to address the wounds that do not require selective debridement. If you

receive any other information, I would greatly appreciate it, as I have been

fighting this battle for quite some time. You can contact me directly at

(785)543-5226 or dbohl@...

le Bohl, PT

Rehab Manager

County Health Systems

This email and any files transmitted with it are confidential and are

intended solely for the use of the individual or entity to which they are

addressed. This communication may contain materials protected by copyright,

or confidentiality and non-disclosure agreements. Be advised that the

unauthorized dissemination, forwarding, printing, or copying of this email

is strictly prohibited. If you are not the intended recipient of this email,

please notify me immediately at dbohl@....

wound care charge 97602 -non selective debridement

Hello all,

I have read that this code is not a stand alone billable

service under medicare and it is to be bundled with other services

(selective debridement, whirlpool...) Here is my question; I work for a

critical access hospital that is cost based reimbursed versus MPFS and or

billing department said it doesn't matter if we charge this code or the

alternative office evaluation/management cpt 99211.....

are there other critical access outpt departments still billing out CPT

97602

What are thoughts of billing office statement?

thanks for any help,

Mike Butterfield OT

Director of Rehab Services

Penobscot Valley Hospital

Lincoln,ME

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