Billing and Coding: Wound Care & Debridement – Provided by a Therapist, Physician, NPP or as Incident-to Services

Medically necessary skilled debridement (CPT 97597, 97598, 97602) may be provided and billed by physicians, NPPs, or therapists within scope and licensure, with therapists requiring a physician-certified therapy plan of care. Routine dressing changes, topical applications, and routine wound reassessments are bundled or non-covered; detailed documentation (objective wound assessment and debridement technique/instruments) and adherence to incident-to and E/M billing rules are required for separate reimbursement.

"Physicians, NPPs, or therapists acting within their scope of practice and licensure may provide medically necessary skilled debridement and bill CPT 97597, 97598, or 97602."

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