How To Use CPT Code 0598T

CPT 0598T describes the noncontact real-time fluorescence wound imaging procedure used to detect the presence, location, and load of bacteria in a 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 0598T?

CPT 0598T can be used to describe the noncontact real-time fluorescence wound imaging procedure. This procedure involves using a handheld imaging device that is passed over a wound without touching it. The device displays images on its monitor, revealing the presence, amount, and location of bacteria in the wound.

2. Official Description

The official description of CPT code 0598T is: ‘Noncontact real-time fluorescence wound imaging, for bacterial presence, location, and load, per session; first anatomic site (eg, lower extremity)’. This code specifically refers to the use of a handheld, touch-screen fluorescence imaging device to examine a wound for bacteria.

3. Procedure

1. The healthcare provider uses a handheld, touch-screen fluorescence imaging device to examine a wound for bacteria.
2. The device displays real-time images on its monitor, showing the location and amount of bacteria present in the wound.
3. No prepping of the wound is necessary, and contrast material is not required.
4. The device does not come in contact with the patient, ensuring a noncontact procedure.
5. The provider can measure and document the bacteria in the wound, determine the need for debridement, and assess whether antimicrobial treatment is necessary.

4. Qualifying circumstances

Patients eligible for CPT 0598T are those with wounds that require assessment for the presence, location, and load of bacteria. The procedure is particularly useful for wounds that may be at risk of infection or require antimicrobial treatment. The noncontact nature of the procedure ensures minimal discomfort for the patient.

5. When to use CPT code 0598T

CPT code 0598T should be used when a healthcare provider performs the noncontact real-time fluorescence wound imaging procedure to assess the presence, location, and load of bacteria in a wound. This code is specific to the first anatomic site examined, such as the lower extremity. It is important to note that this code should not be used for wounds that do not require assessment for bacterial presence.

6. Documentation requirements

To support a claim for CPT 0598T, the healthcare provider must document the following information:

• Details of the wound being assessed
• Real-time images displaying the presence, location, and amount of bacteria in the wound
• Date and time of the procedure
• Any additional findings or observations made during the procedure
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 0598T, ensure that the procedure is performed using a handheld, touch-screen fluorescence imaging device. The code should only be reported for the first anatomic site examined. It is important to check with the payer regarding coverage and reimbursement for this investigational procedure. Although not payable in some cases, it is still necessary to code and report CPT 0598T for tracking purposes.

8. Historical information

CPT 0598T was added to the Current Procedural Terminology system on July 1, 2020. As of now, there have been no updates or changes to the code since its addition.

9. Examples

1. A wound care specialist using a handheld fluorescence imaging device to assess the presence and location of bacteria in a lower extremity wound.
2. A dermatologist performing noncontact real-time fluorescence wound imaging to determine the load of bacteria in a wound on the arm.
3. An orthopedic surgeon utilizing the procedure to assess the presence and location of bacteria in a wound near a joint.
4. A plastic surgeon using the handheld imaging device to monitor the bacterial load in a facial wound.
5. A wound care nurse performing noncontact real-time fluorescence wound imaging to assess the presence and location of bacteria in a wound on the abdomen.
6. An emergency room physician utilizing the procedure to determine the bacterial load in a wound on the hand.
7. A podiatrist using the handheld fluorescence imaging device to assess the presence and location of bacteria in a foot wound.
8. A general surgeon performing noncontact real-time fluorescence wound imaging to determine the load of bacteria in a wound on the back.
9. A vascular surgeon utilizing the procedure to assess the presence and location of bacteria in a wound on the leg.
10. An infectious disease specialist using the handheld imaging device to monitor the bacterial load in a wound on the neck.