Cracking the Code
Wound Debridement vs Active Wound Care Management
It is important for coders to understand the difference between wound debridement and active wound care management. Wound debridement procedures consist of physicians removing nonviable tissue from a wound with forceps, scissors, scalpel, or tissue nippers. Wound debridement codes are reported by depth of tissue that is removed and surface area of the wound and using CPT codes 11042 – 11047. Active wound care procedures are performed to remove devitalized and/or necrotic tissue to promote healing. These procedures are captured with CPT 97597 and 97598. Pay very close attention to provider’s documentation to ensure the accurate CPT codes are reported for the encounter.
L97.929, non-pressure chronic ulcer of unspecified part of lower leg with unspecified severity
CPT 97597, debridement, open wound, including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less