Wound Billing

For wound diagnostics and antibiotic prescription, the following CPT and HCPCS codes are pertinent:​AAPC+2Centers for Medicare & Medicaid Services+2Centers for Medicare & Medicaid Services+2

Evaluation and Management (E/M) Services:

• New Patients:

  • 99202-99205: Office or outpatient visits for new patients, with code selection based on visit complexity and time spent.​
  • $70 – $220

• Established Patients:

  • 99212-99215: Office or outpatient visits for established patients, varying by service level.​
  • $54-$172

These codes encompass patient history, examination, and medical decision-making, including diagnostics and treatment planning.​

Wound Diagnostics Procedures:

• Wound Debridement:

  • 97597: Debridement of open wounds (e.g., removal of devitalized tissue) involving the first 20 square centimeters or less.​
  • 97598: Each additional 20 square centimeters debrided beyond the initial 20 square centimeters.​

• Wound Care Management:

  • 97602: Removal of devitalized tissue from wounds using non-selective methods without anesthesia.​

These procedures aid in assessing wound extent and determining appropriate treatment strategies.​

Antibiotic Prescription Reporting:

• HCPCS Code G8710: Indicates that a patient was prescribed an antibiotic.​

This code is used to document the prescription of antibiotics in patient records.​

Accurate documentation and code selection are essential for proper billing and compliance.