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Billing and Coding Guidelines for Wound Care

Billing and Coding Guidelines for Wound Care LCD ID L34587 Billing Guidelines Wound Care (CPT Codes 97597, 97598 and 11042-11047) 1. Active Wound care procedures are performed to remove devitalized and/or necrotic tissue to promote healing. Debridement is the removal of foreign material and/or devitalized or contaminated tissue from or adjacent to a traumatic or infected Wound until surrounding healthy tissue is exposed. These services are billed when an extensive cleaning of a Wound is needed prior to the application of primary dressings or skin substitutes placed over or onto a Wound that is attached with secondary dressings.

2. Typically bill CPT 97597 and/or CPT 97598 for recurrent wound debridements when medically reasonable and necessary. 3. performed by a CPT 97597 and/or CPT 97598 are not limited to any specialty as long as it is health care professional acting within …

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