Results 1 to 9 of 9

Neg. Pressure Wound Tx 97605

  1. Default Neg. Pressure Wound Tx 97605
    Medical Coding Books
    Can this code be used by the surgeon for initial placement in the OR?

  2. #2
    Location
    Daytona Beach, FL
    Posts
    742
    Default Looking for an answer too!
    Can any one answer this question? I was wondering the same thing as my Plastic Surgeon insists that it can be billed because her sales rep told her so! If someone can please answer this and provide any documentation to support yes or no I would be forever greatful!!!

    Thanks,
    Jodi Dibble, CPC

  3. Default Wound care codes
    I am trying to find the correct code for wound vac placement - I am leaning towards the code 97605 as the description seems suitable - but I was wondering if there was a HCPCS code as well - it would be great if anyone could shed some insight in this matter.

  4. #4
    Location
    Johnson City
    Posts
    202
    Default
    97605 is the correct code for wound VAC. We have not been successful in billing for the first placement of the VAC in the O.R. also another thing to keep in mind is if your patient is discharged, and will be receiving home health care. Insurance carriers will only cover the home health agency changing the VACs. Often times, during a post-op visit the surgeon or Phys. Assistant in our office will change the VAC, but we can't get reimbursed if the pt is also receiving that service from Health Health Agency.
    Melissa Jewett, CPC

  5. #5
    Location
    Fayetteville, NC
    Posts
    300
    Default
    We have placed a very few in the office and a few in the hospital and been paid for most of them.
    Our problem is when they pay for the wound vac they do not want to pay for any of the follow up wound care (including wound treatment weeks later) but there is no global on the wound vac.
    A. McCormick, CPC, CGSC
    Walters Surgical Associates

  6. #6
    Default
    so could you bill 97605-58 in the office during a post-op? When post op visit is booked know if the vac will have to be changed

  7. #7
    Location
    Johnson City
    Posts
    202
    Default
    Global rules shouldn't apply, you wouldn't need the 58.
    Melissa Jewett, CPC

  8. #8
    Location
    Daytona Beach, FL
    Posts
    742
    Default
    Quote Originally Posted by mjewett View Post
    Global rules shouldn't apply, you wouldn't need the 58.
    Why wouldn't global rules apply? If the VAC is applied during a surgical procedure and that procedure has a global, wouldn't the VAC fall under the global for the operative procedure? For instance, my doctor wants to bill the 97605 with 15100 which has a global of 90 days. Any procedure done during that time would be under that global, so why wouldn't the VAC fall under that?

    I am still on the fence about whether we can bill the 97605 in the OR - does anyone have solid documentation on this - and I don't mean anything from a sales rep or VAC company!

    Thanks,
    Jodi Dibble, CPC

  9. #9
    Default
    I have been told that you can't code for placement of wound vac just like you can't code for skin closure. It's just a different type of dressing? Any thoughts?

    I don't think 58 or 78 modifier applies to procedures in the office. They require a return to the operating room. And CMS won't pay for procedures done in the office during the global period.

    So is there a modifier for procedures done in the office during the global period?

Similar Threads

  1. Positive PPD Neg X-Ray and Neg Quantiferon Please help!
    By Coder85 in forum General Discussion
    Replies: 1
    Last Post: 04-22-2015, 07:39 AM
  2. Negative Pressure Wound Vacs 97605 versus 97607
    By beach002 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 02-26-2015, 09:42 AM
  3. Negative Pressure Wound- 97605
    By jaud63 in forum Dermatology
    Replies: 0
    Last Post: 08-20-2010, 06:15 PM
  4. 97605-97606 Negative Pressure wound therapy
    By kevin2candy in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 06-18-2010, 08:47 AM

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?

Login

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.