Medical Billing and Coding Resources
A strong understanding of various codes that Wound Care treatments comprise of is required to be able to successfully bill the claims. It is important for practices to bring in reliable and expert vendors to handle billing, to overcome unique wound care billing challenges. Outsourcing wound care billing services can reduce practices’ overhead costs, increase reimbursements, decrease claim denials, and rejections. This can enable practices to focus more on their patients rather than spending hours constructing and interpreting the billing reports.
Negative Pressure Wound Therapy (NPWT) Negative pressure wound therapy (NPWT), also referred to as vacuum-assisted wound closure, is a treatment for acute and chronic wounds that uses the controlled application of sub-atmospheric pressure to the surface of a wound to remove exudate and debris. The system includes dressings, a suction pump, tubing and a collection […]
+15005 CPT Code Description: Surgical Preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, neck ears, orbits, genitalia, hands, feet and/or multiple digits; each additional 100 sq cm, or part thereof, or each additional 1% of body […]
15004 CPT Code Description: Surgical Preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, neck ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children. Skin […]
+15003 CPT Code Description: Surgical Preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; each additional 100 sq cm, or part thereof, or each additional 1% of body area of infants and children (List separately in addition […]
15002 CPT Code Description: Surgical Preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children. Skin Replacement/Surgical Preparation Codes (15002-15005) Skin replacement codes (15002-15005) apply […]
+11047 CPT code Description: Each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) (Do not report 11042-11047 in conjunction with 97597-97602 for the same wound) (Use 11047 CPT code in conjunction with 11044). Description of Procedure (11047) Intraservice work includes additional assessment and debridement after the first […]
+11046 CPT code Description: Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) (Use 11046 CPT code in conjunction with 11043). Description of Procedure (11046) Intraservice work includes additional assessment and debridement after the first […]
+11045 CPT Code Description: Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) (Use 11045 CPT code in conjunction with 11042). Description of Procedure (11045) Intraservice work includes additional assessment and debridement after the first 20 sq cm. […]
11044 CPT Code Description: Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less. Description of Procedure (11044) Inspect and palpate the surrounding skin, wound edge, and exposed soft tissue and bone. Document the size, location, drainage, and depth of the wound. Inspect for and document sinus […]
11043 CPT Code Description: Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less. Description of Procedure 11043 CPT Code: Inspect and document the ulceration for size, location, depth; classification/staging; and any interval changes, if appropriate, from any previous inspections. Anesthesia, as necessary, is utilized. The posterior […]
