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Podiatry Coding & Billing Alert

You Be the Coder:

Know This Medicare Exception to Unbundle Debridement With Skin Grafts

Published on Wed May 17, 2023

Question: Our podiatrist debrided a patient’s foot wound, then applied skin substitute. We billed Q4159, 15275 and 97597, and Medicare paid for the Q4159 and 15275 but denied 97597 stating that it was bundled. The doctor feels this is incorrect as 97597 is considered the prepping and/or debriding of the wound, and the 15275 is the application of the graft. When [...]
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