How To Use CPT Code 0512T

CPT 0512T describes the application of extracorporeal shock wave therapy for integumentary wound healing, including topical application and dressing care for the initial wound. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0512T?

CPT 0512T can be used to describe the application of extracorporeal shock wave therapy for integumentary wound healing. This therapy involves the use of powerful sound waves to promote healing and reduce pain of a skin wound. The code also includes the topical application of medicinal ointments and wound dressings.

2. Official Description

The official description of CPT code 0512T is: ‘Extracorporeal shock wave for integumentary wound healing, including topical application and dressing care; initial wound.’

3. Procedure

1. When the patient is appropriately prepped, the provider applies a water-based conductive gel or a water cushion to conduct sound waves over the area of the wound.
2. The provider then places the head of the therapy unit over the affected area and delivers sound waves through it.
3. The goal is for these waves to stimulate healing of the wound tissues.
4. At the completion of the procedure, the provider applies a topical ointment and a dressing over the wound.

4. Qualifying circumstances

CPT 0512T is applicable when the provider applies shock waves to promote healing and reduce pain of a skin wound. This code is used for the initial or only integumentary (skin) wound treated at an encounter.

5. When to use CPT code 0512T

CPT code 0512T should be used when the provider applies extracorporeal shock wave therapy for integumentary wound healing, including topical application and dressing care for the initial wound. This code should not be used for additional wounds treated at the same encounter.

6. Documentation requirements

To support a claim for CPT code 0512T, the provider must document the following information:

• The specific wound being treated
• The use of extracorporeal shock wave therapy
• The application of topical ointments and wound dressings

7. Billing guidelines

When billing for CPT code 0512T, ensure that the procedure involves the application of extracorporeal shock wave therapy for integumentary wound healing, including topical application and dressing care for the initial wound. Report additional wounds treated at the same encounter with the +0513T code as the primary code. Follow the specific guidelines provided by payers for proper reimbursement.

8. Historical information

CPT code 0512T was added to the Current Procedural Terminology system on January 1, 2019. There have been no updates to the code since its addition.

9. Examples

1. A provider applies extracorporeal shock wave therapy to promote healing and reduce pain of a skin wound on a patient’s leg, including topical application and dressing care.
2. A patient undergoes extracorporeal shock wave therapy for integumentary wound healing on their arm, with the provider also applying topical ointments and wound dressings.
3. A provider uses extracorporeal shock wave therapy to stimulate healing of a skin wound on a patient’s abdomen, followed by the application of topical ointments and wound dressings.
4. An individual receives extracorporeal shock wave therapy for integumentary wound healing on their back, with the provider providing topical application and dressing care.
5. A provider applies extracorporeal shock wave therapy to promote healing and reduce pain of a skin wound on a patient’s foot, including the application of topical ointments and wound dressings.
6. A patient undergoes extracorporeal shock wave therapy for integumentary wound healing on their hand, with the provider also providing topical application and dressing care.
7. A provider uses extracorporeal shock wave therapy to stimulate healing of a skin wound on a patient’s chest, followed by the application of topical ointments and wound dressings.
8. An individual receives extracorporeal shock wave therapy for integumentary wound healing on their face, with the provider providing topical application and dressing care.
9. A provider applies extracorporeal shock wave therapy to promote healing and reduce pain of a skin wound on a patient’s neck, including the application of topical ointments and wound dressings.
10. A patient undergoes extracorporeal shock wave therapy for integumentary wound healing on their shoulder, with the provider also providing topical application and dressing care.