IndepCoder/COC, CASCC, CPMA, E/M, COC-I (pending exam)
97 | : | The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. |
If the patient had multiple wounds and the physician debrided one wound, but placed a graft on a separate wound, you can bill for both the debridement and the graft with a mod 59, but the note must clearly state that wound A was debrided and wound B had a graft placement.