Medical Billing and Coding Resources
+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 […]
11042 CPT Code Description: Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less (For debridement of skin (i.e., epidermis and/or dermis only), use 97597, 97598) Description of Procedure (11042) Inspect and document the ulceration for size, location, depth; classification/staging; and any interval changes, if appropriate, from any previous inspections. […]
Basics of 97598 CPT Code +97598 CPT Code: Use 97598 in conjunction with 97597 for each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure). 97597 CPT Code is described as ‘Debridement (e.g., high-pressure waterjet with /without suction, sharp selective debridement with scissors, scalpel, and forceps), open wound, […]
97602 CPT Code Description Removal of devitalized tissue from wound(s), nonselective debridement, without anesthesia (e.g. wet-to-moist dressings, enzymatic, abrasion, larval therapy), including tropical application, wound assessment, and instructions for ongoing care, per session. 97602 CPT code is assigned a status of B under the Medicare Physician Fee Schedule (MPFS). When this service is provided by […]
97597 CPT Code Description Debridement (e.g., high-pressure waterjet with /without suction, sharp selective debridement with scissors, scalpel, and forceps), open wound, (e.g., fibrin, devitalized epidermis and/or dermis, exudates, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq […]
Billing Guidelines for Wound Care Wound Care (CPT Codes 97597, 97598 and 11042-11047) Active wound care procedures are performed to remove devitalized and/or necrotic tissue to promote healing. Debridement is the removal of foreign material and/or devitalized or contaminated tissue from or adjacent to a traumatic or infected wound until surrounding healthy tissue is exposed. […]
