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E/M instead of selective debridement

  1. #1
    Default E/M instead of selective debridement
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    My doc sees patients 3 days a week at an outpatient wound care center. Lots of these patients return weekly for follow up and many will only have a selective debridement at their follow up visit - 97597 or 97598. He has asked if we can bill for an est pt visit instead of the debridement since the E/M pays more. Does anyone know the answer to this question? I'm not exactly sure.
    Thanks!!
    Mary Beth Gord, CPC

  2. Unhappy
    Quote Originally Posted by mgord View Post
    My doc sees patients 3 days a week at an outpatient wound care center. Lots of these patients return weekly for follow up and many will only have a selective debridement at their follow up visit - 97597 or 97598. He has asked if we can bill for an est pt visit instead of the debridement since the E/M pays more. Does anyone know the answer to this question? I'm not exactly sure.
    Thanks!!
    Under both codes you will find the following remark: " includes direct patient contact. removing devitalized/necrotic tissue and promoting healing " Since that is the specific reason the pt came to see the doctor you should code 97597 or 97598 not an E/M because of the dollar amount.

  3. Default E&M vs Debriedment
    I agree, Documentation specifics for E&M indicates that if there is a more specific code that applies to the service provided you should be using that code.

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