![]() ![]() However, that does not mean that payors will reimburse separately for the service, so use caution and track results. Negative pressure wound therapy (97605-97606) is considered billable for both open and closed wounds. The AMA published clarification on wound vac billing in the October 2021 CPT Assistant. Could I please ask you for your advice regarding this issue? What is the right answer? After multiple discussions with the physicians and coders, we are unable to provide a definitive answer. CPT Code 97610 is not separately reportable for treatment of the same wound on the same day as other active wound care management CPT codes (97597-97606) or wound debridement CPT codes (e.g., CPT codes 11042-11047, 97597, 97598). The coders think the wound vacs are dressings which are included in the global surgical fee and would not billable. One 97610 service per day is allowable for a qualifying wound. Some of the physicians believe the wound vacs are billable because they are applied to the skin which constitutes a different body system. The two CPT codes of 9766 can only be used when Durable Medical Equipment (DME) Negative Pressure Wound Therapy (NPWT) such as the 3MTM ActiV.A.C.TM Therapy System is being used. ![]() The physicians and coders disagree about how to handle these edits. As a result, I am told by my coders that billing for these wound vacs is not appropriate, since there is a Medicare NCCI edit that bundles this with more comprehensive procedures at the same anatomic area. Some of my team are reporting the negative pressure wound therapy codes 9766 when applying wound vacs after closing at the completion of their surgical cases. 97606, Negative pressure wound therapy including topical application(s), wound assessment, and instruction(s) for ongoing care, per session total wound(s). ![]()
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