Results 1 to 3 of 3

Wound care question

  1. #1
    Question Wound care question
    Medical Coding Books
    We have a patient with a large wound (~100 cm) who comes in for debridement and wound care. This was initially coded as 97595, 97596 x4 units, but comes back on our error report as a medically unlikely service for the 97598 x4. Does anybody know the best way to code for this patient? Would it be better to bill each 97598 on a separate line?

    Thank you in advance!

  2. #2
    Milwaukee WI
    Default Appeal with copy of report
    What they are saying when they say it is "medically unlikely" is that they want to see some proof of the size of the wound. Appeal with a copy of the report.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    The error is on our interal edit report; this hasn't even billed to the insurance co yet (which happens to be Medicare).


Similar Threads

  1. Wound care quick question
    By mamador2 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 08-17-2015, 11:45 AM
  2. Wound Care Question - HBO
    By kfrycpc in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 07-24-2012, 07:39 AM
  3. Leveling question - wound care
    By hgraddy in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 07-19-2012, 02:08 PM
  4. Wound Care Question
    By tfrick2 in forum Dermatology
    Replies: 2
    Last Post: 05-19-2012, 09:49 AM
  5. wound care question
    By Anna Weaver in forum Medical Coding General Discussion
    Replies: 7
    Last Post: 01-28-2011, 02:11 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.