cpt 97605, cpt code 97605, 97605 cpt code

CPT Code 97605 | Description, Procedure & Billing Guidelines (2022)

97605 may be used for negative pressure wound therapy for wounds with a surface area of 50 centimeters or less.

1. What Is CPT Code 97605?

CPT 97605 can be reported when a provider applies subatmospheric pressure around the patient’s wound with a surface area of 50 square centimeters or less.

They use durable medical equipment and try to remove infectious materials and fluids with a sealed dressing.

2. Description

The CPT book describes CPT code 97605 as follows: “Negative pressure wound therapy (e.g., vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters.”

3. Procedure

The 97605 procedure begins with the provider checking and cleaning the wound with a surface area of 50 square centimeters or less and checking it for the absence of sinus tracts and fistulas.

Then, they use a sponge approximately the size of the wound and attach it over the wound with transparent film, which provides a rigid seal.

Next, they use a suction tube, move it into the dressing through an opening in the film, and connect it to a negative pressure therapy pump before activating it.

In the meantime, the provider observes the patient and looks for signs of distress. They also ensure that the medical equipment functions well and replaces the canister where the suctioned material accumulates.

Finally, they instruct the caregiver or the patient about wound care before ending the procedure.

4. How To Use CPT Code 97605

Use CPT 97605 for wounds with a total surface of 50 centimeters or less.

You can bill negative pressure therapy separately after the surgery is completed since it is not part of post–operative global care.

5. Resources

CPT Professional 2022

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/SE17027.pdf

https://ldh.la.gov/assets/medicaid/MCPP/12.23.19/2019-UHC-247negative-pressure-wound-therapy-cs1redlinela.doc

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/negative-pressure-wound-therapy.pdf

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