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Post Op Wound Care

  1. #1
    Greater Pittsburgh
    Default Post Op Wound Care
    Medical Coding Books
    Our general surgeon performed a hemicolectomy on a patient and a week later placed a wound vac into the incision for possible wound infection. A nurse practitioner (whom is not employed by our practice) was consulted to check on wound vac and she is changing them periodically. Can I charge for her E/M visits in the hospital?

  2. #2
    Kansas City, MO
    Nope. According to CMS, the wound vacs are just a "fancy bandage" and are not billable. There is a CPT code 97605 that some use, but this is for full on a wound care session.
    Linda Vargas, CPC, CPCO, CPMA, CPC-I, CEMC,CCC, AAPC Fellow
    PMCC Licensed Instructor
    2018 Chapter President, Kansas City, MO

  3. #3
    Milwaukee WI
    Default No
    No, because she is NOT employed by your practice.

    She can charge for her services, but you cannot.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  4. #4
    So I understand that if a physician does a colectomy (44140 for example) and places a wound vac at the same time that you can't bill for that just like you can't bill for closing the skin.

    But if the physician in the global is changing the wound vac at the bedside during the hospitalization, would one bill for that? And do I understand correctly that it would be different between Medicare and private payers?

  5. #5
    Milwaukee WI
    Default Repeat VAC dressing
    Yes, when physician performs VAC dressing change in days following original surgery, we code for this. DOn't forget your -58 modifier!

    Since I work in Pediatrics we don't usually bill Medicare, but we are paid by Medicaid for this service.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  6. #6
    Yes that helps. Thanks

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