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Post Op Wound Care

  1. #1
    Location
    Greater Pittsburgh
    Posts
    5
    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
    Location
    Kansas City, MO
    Posts
    431
    Default
    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
    PMCC Licensed Instructor
    Kansas City, MO Chapter
    President, 2018
    Vice President, 2017
    Member Development Officer 2016
    Harrisonville, MO Chapter President - 2013
    ICD-10 Education Coordinator- 2012
    Chapter President - 2011
    President Elect - 2010

  3. #3
    Location
    Milwaukee WI
    Posts
    4,466
    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
    Default
    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
    Location
    Milwaukee WI
    Posts
    4,466
    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
    Default
    Yes that helps. Thanks

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