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Wiki Wound Care vs. E/M visit

A

AKAJBART

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My Doctor will sometimes put a dressing on an open wound, and by dressing I mean...... Band-Aid and antibiotic ointment. The Office Manager always puts a note on the charge for me to bill the Wound Care.

With that said, I've always been told that unless it requires a Procedure (ie; debridement, sutures, skin removal, etc.) that the Band-Aid and ointment are considered inclusive with the E/M visit code.

Does anyone have any info to help me support this? Or if I'm incorrect, please let me know.

I appreciate your help!

Thanks :o
 
You're correct. That's not wound care in the sense of debridement or suturing, it's part of the E&M.

Surgical and code guidelines regarding wound care are in both CPT and documented in the CCI edits.
 
Thanks Pam!! Do you, or anyone else, have any documentation to support this? :D

Also, an E/M would be billed for "Burn Care" when all that was done was: "Applied Silvadene cream and wrapped pinky finger, right hand, 3rd degree burn that happened 7 days ago" - Correct??
 
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