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CPT Code 97597 | Debridement For The Removal Of Dead Or Damaged Tissue

CPT code 97597 is used for debridement, removing dead or damaged tissue from a wound.

What Is CPT Code 97597?

CPT code 97597 is used for a medical procedure called debridement, which involves the removal of dead or damaged tissue from a wound using various techniques.

This procedure can be performed with sharp debridement with scissors, a scalpel, or a high-pressure waterjet with or without suction.

It also may include applying topical medications or materials, wound assessment, a whirlpool, and instructions for ongoing care on wounds with a total surface area of 20 square centimeters or less.

Description

The CPT book describes CPT code 97597 as: “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, exudate, 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 cm or less.”

Procedure

The provider may use various techniques, including sharp debridement with scissors, forceps, or a scalpel (a surgical knife), or he may use a high–pressure waterjet, with or without suction.

The excision can include the deep layer of skin or the outer layer; blood clots or other debris that has escaped from the blood vessels and been deposited in the wound; or biofilm, microorganisms that adhere to the exposed tissues of the wound.

When the patient is appropriately prepped and anesthetized, the provider may perform sharp debridement with scissors, forceps, or a scalpel to remove any devitalized necrotic tissue and debris from the open wound.

Additionally, the provider may use a high–velocity waterjet, with or without suction, to loosen and remove devitalized tissue from the wound.

The provider aims for a highly pressurized water stream directly at the target tissue in the waterjet method. In addition, the waterjet generally contains an abrasive to help with cutting. 

The abrasive material and the high pressure facilitate the removal of undesirable tissues that include the deep layer of skin, the dermis, or the outer layer, the epidermis; blood clots (fibrin) or other exudate and debris that has escaped from the blood vessels and been deposited in the wound; or biofilm, microorganisms that adhere to the exposed tissues of the wound.

If the provider uses suction with the water jet, he forcibly sucks the devitalized tissue from the wound with a vacuum-type device.

After he successfully removes the devitalized tissues, the provider controls any bleeding and does not destroy any viable tissue. He then lightly packs the wound with saline–moistened gauze and applies a composite dressing over the wound.

This procedure includes the topical application of medicine or materials, wound assessment, whirlpool, and instructions for ongoing care.

This code represents the services for a total surface area of first 20 cm2 or less.

How To Use CPT 97597

CPT 97597 is a wound care management code that involves serious wounds requiring extensive debridement.

For each additional 20 cm2 or part of the total wound surface area, report the add–on code CPT 97598 for each additional 20 cm2.

Report CPT 97602 for wound care management of less extensive wounds,

Resources

CPT Professional 2022

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