Wiki Who may bill with codes 97607 and 97608?

[melbiv]

We are a small Rural Health Clinic. One of our Certified Medical Assistants is asking if they can become certified as a wound care nurse, specifically she is asking if a CWCA (certified wound care associate) my bill as a wound care nurse?


She wants to be able to bill codes 97607 and 97608 for non DME negative pressure wound therapy. I know that these codes are for nonphysician professionals (PA, NP's, wound care nurses, etc). Since this employee is not a licensed nurse I am unsure whether she can bill these codes. Does anyone know where I might find a list of credentials allowed to bill these codes?

 

[Chelle-Lynn]

Unfortunately a Certified Wound Care Associate cannot bill for these services. The services still require a licensed (not certified) medical professional.

 

[melbiv]

Thanks so much for answering my question. I was fairly sure that was the answer but am glad to have confirmation.

 

[tkermode]

Incident-to?

Unfortunately a Certified Wound Care Associate cannot bill for these services. The services still require a licensed (not certified) medical professional.

They could be billed as incident-to a physician established care plan.