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Wound vac-experience coding

  1. Default Wound vac-experience coding
    Medical Coding Books
    Does anyone have any experience coding for a wound vac, 97605?? Wondering if a modifier is necessary as this was placed during a surgery and also reimbursement? There are no set RVU's for this that I've found.



  2. Default
    No it does not need a modifier as long as the physician has documented well on why a wound vac was necessary. I think they are about $52 for the physician fee. Not sure on the techinal portion.

    Hope this helps!

  3. #3
    Depending on the payer it could be bundled into the intial dressing application, documentation would be the key to determine why a wound vac would be necessary over a traditional dressing. This may require appealing the procedure if it is denied. Payment is at the decresion of the insurance company.
    Manager, SIU

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