Dressings applied to the wound are part of the services for CPT codes 97597, 97598 and 97602 and they may not be billed separately. This is the correct code. In accordance with CMS Ruling 95-1 (V), utilization of these services should be consistent with locally acceptable standards of practice. It is expected that the physician will document the current status of the wound in the patient's medical record and the patient's response to the current treatment. Radionecrosis of Skin and Soft Tissue - AHA Coding Clinic for ICD-10 You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement. Use appropriate modifiers when more than one wound is debrided on the same day. an effective method to share Articles that Medicare contractors develop. The program covers drugs that are furnished "incident-to" a physician's service provided that the drugs are not "usually self-administered" by the patient. ICD-10 diagnosis codes L98.7 or M79.3 should be reported as the primary diagnosis with ICD-10 codes E65, L30.4, R26.2, or Z74.09 reported as the secondary diagnosis. It may not display this or other websites correctly. If it is determined that the goal of care is not wound closure, the patient should be managed following appropriate covered palliative care standards. Prevention includes immediately caring for any cuts or sores. The portal uses cookies to provide service functions such as Bookmark and to improve website usage. The following was also added, "It may be appropriate to use modifier 59 with these strapping codes if performed in a separate anatomical area., In the Article Text under Surgical Debridement - CPT codes 11000-11012, and 11042-11047, changed the wording of the sub-bullet under the sixth bullet to read "Per CMS Change Request (CR) 8863, CMS will continue to recognize the -59 modifier, a modifier used to define a "Distinct Procedural Service,"but notes that Current Procedural Terminology (CPT) instructions state that the -59 modifier should not be used when a more descriptive modifier is available. DISCLOSED HEREIN. L02.4 is the ICD-10 code for this illness. Appropriate modification of treatment plans, when necessitated by failure of wounds to heal, must be demonstrated. The American Hospital Association (the "AHA") has not reviewed, and is not responsible for, the completeness or DISTINCT PROCEDURAL SERVICE: UNDER CERTAIN CIRCUMSTANCES, THE PHYSICIAN MAY NEED TO INDICATE THAT A PROCEDURE OR SERVICE WAS DISTINCT OR INDEPENDENT FROM OTHER SERVICES PERFORMED ON THE SAME DAY.