Thank you for your update.
Lynette Rettig
Billing Supervisor
Ridgeview Home Health Services
501 S. Maple St STE 1
Waconia MN 55387
952-442-6030 Ext 35520
From: billers@list.mnhomecare.org [mailto:billers@list.mnhomecare.org]
On Behalf Of Brand, Vickie
Sent: Friday, August 18, 2017 9:26 AM
To: billers@list.mnhomecare.org
Cc: Kuske, Michelle <michelle.kuske@ridgeviewmedical.org>
Subject: RE: Disposable negative pressure wound therapy
The 97605 and 606 are the wound vacs that are more common in homecare and are considered DME.
The 97607 and 608 are disposable negative pressure wound therapy devices. From my understanding, the home care agency buys the disposable device from the vendor and Medicare pays the HHA separately when a visit
is made AND the device is applied. You would use TOB 34X (vs 32X) for the visit and device. I’m not 100% clear on how you would bill if the nurse performed an unrelated skill in addition to the disposable NPWT dressing change (such as diabetic teaching) but
I think that you could bill that SNV on a 32X – but don’t quote me on that.
I met with a rep from Acelity and she sent me the following link to learn more about billing. We haven’t taken any patients with this device yet but it sounds like home care may be starting to get referrals for
this.
http://www.acelity.com/healthcare-professionals/reimbursement
|
97605 |
Negative pressure wound therapy (eg vacuum assisted drainage collection); total wound(s) surface area less than or equal to 50 square centimeters |
|
97606 |
Negative pressure wound therapy (eg vacuum assisted drainage collection); total wound(s) surface area greater than 50 square centimeters |
|
97607 |
Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection
system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters |
|
97608 |
Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection
system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters |
From:
billers@list.mnhomecare.org [mailto:billers@list.mnhomecare.org]
On Behalf Of Rettig, Lynette
Sent: Thursday, August 17, 2017 3:46 PM
To: billers@list.mnhomecare.org
Cc: Kuske, Michelle
Subject: Disposable negative pressure wound therapy
Importance: High
Hi,
Please help me to understand the new wound vac HCPCS code on the consolidated Billing List for Home Care.
97605- Negative pressure wound therapy
97606 Negative pressure wound therapy
97607- Negative pressure wound therapy- this code for disposable NPWT device can be billed under Medicare Hospital OP Prospective Payment under TOB 34x- under 50 square centimeters
97608- Negative pressure wound therapy- - this code for disposable NPWT device can be billed under Medicare Hospital OP Prospective Payment under TOB 34x- over 50 square centimeters
What is the 97605 and 97606 descriptions and when are they used?
Does the Home Care purchase and apply these disposable devices???
I appreciate any help in understanding how this is going to work.
Thanks
Lynette Rettig
Billing Supervisor
Ridgeview Home Health Services
501 S. Maple St STE 1
Waconia MN 55387
952-442-6030 Ext 35520
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