2011 CPT updated description of selective debridement codes. 97597 is for the first 20 sq cm of debridement and 97598 is for each additional 20 sq cm. 97598 has now become an "add on " code. In 2010 you could not bill these codes together -now you have to in order to get paid properly by medicare.
Problem - CMS has not updated the LCDs and they are denying all my claims when I bill 97597 and 97598 together - denial says cannot bill codes together. AND if I bill more than 1 unit of 97598 (which you can do in 2011) THAT denies as CO 151- " exceeds allowed frequency".
Anyone else having this problem? I guess I have to write formal re-determination letters.
Problem - CMS has not updated the LCDs and they are denying all my claims when I bill 97597 and 97598 together - denial says cannot bill codes together. AND if I bill more than 1 unit of 97598 (which you can do in 2011) THAT denies as CO 151- " exceeds allowed frequency".
Anyone else having this problem? I guess I have to write formal re-determination letters.