Billing 97602 Non-Selective Debridement with 99211 Office Visit in hospital PT

[Guest guest]

On occasion, we have wound patients, generally toward the end of their episode

of care, who have transitioned from the need for selective debridement as part

of there wound care treatment plan. In these cases, we've followed the

suggestion offered in " Coding and Billing for Outpatient Rehab Made Easy, " by

Rick Gawenda, PT, that " if you are a hospital outpatient department and this is

the only service you provide (dressing change & localized wound care without

selective debridement) to the patient on a given day, you may bill 99211 in

addition to 97602. " (pg22) This has worked for some time, but is now being

denied. We are being told that 99211 can only be billed if the service was

provided " under direct physician supervision, " by a PA,NP, or MA in a physician

office. I recognize that the book I reference is copyright 2006 and things

change.

Doe anyone have any suggestions on how to capture any reimbursement in this

scenario? Any help or suggestions or references would be greatly appreciated.

Warmest Regards,

Greg Barker, PT, DPT

Director, Rehab Services of Nevada

Northeastern Nevada Regional Hospital

Elko, NV

gbarker@...