Wiki 97602- for wound care

[kerenorozco]

Hi, I am not sure if this code would be the appropriate for a pt that presented with ulcer on leg. there was no mention of debridement, so that is why I am not certain.
any guidance will help thank you.

cleaned with McKesson Dermal wound cleanser.
gauze applied with antibiotic ointment.
wrapped with gauze.
secured with ACE wrap and sild tape.
Education: wound care instructions given
stop peroxide
use soap and water.
mupirocin prescribed, apply daily.
contract Dr if fails to heal in one to two weeks.
contact Dr if condition worsens.

 

[thomas7331]

You're correct - without debridement you can't assign that CPT code. 97602 is assigned for non-selective debridement, which means generalized removal of dead or non-viable tissue. It would not appropriate in this case because there is no documentation that there was non-viable tissue in this wound, or that this kind of tissue was removed during the cleaning of the wound. Based on this documentation, I would assign 99212 if this was performed by the provider, or 99211 if this by office staff under the provider's supervision and plan of care.

 

[TThivierge]

Hi Kere
So if the pressure ulcer has bone sticking out or rotten skin they will code it the first stage ? There are 4 stages of pressure ulcers, check dx block L89. So if skin ulcers due to Diabetes or Skin burns or Infections from sores or Laceration Injury this should be listed too. I hope they agree. Interesting
Lady T