Hello I am new to coding and have a wound vac placement question and you seem to really understand it. I work for a podiatry office who does surgery at our local hospitals. I have a case where he used the following CPT 29192 , 10121, 20240 and 29192. He also did a wound vac placement. Can I charge 97605 if the documentation provides the surface area?I agree with not billing 97607/97608 in this scenario
It is inappropriate to report these codes when the provider places a vac during surgery. First and foremost the provider is not actually rendering the service defined in the code. See below, I added the bold.
Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters
Not sure who your carrier is but below are documents from 2 different MACs. I copy/pasted some of the more pertinent verbiage. The first one states if you aren't doing what the code describes, don't report it. The second one, I pulled forward the definition of NPWT per WPS Medicare, which is not inclusive of just putting on a vac during surgery.
Dressings applied to the WOUND are part of the services for CPT codes 97597, 97598 and 97602 and they may not be billed/reimbursed separately. Codes 97602, 97605, 97606, 97607 and 97608 include the application of and the removal of any protective or bulk dressings. However, if a dressing change is performed without any active WOUND procedure as described by these codes, these codes should not be reported.
Negative Pressure Wound Therapy:
Negative Pressure Wound Therapy (NPWT) involves the application of controlled or intermittent negative pressure to a properly dressed wound cavity. Suction (negative pressure) is applied under airtight wound dressings to promote the healing of open wounds resistant to prior treatments.
I hope this is helpful,
Laura, CPC, CPCO, CPMA, CPC-I, CANPC, CEMC