November 16, 2017

Question:
When performing ulcer debridement down to the subcutaneous tissue do we report the service with CPT 97597?

Answer:
No, CPT 97597 and 97598 are reported for debridement of the epidermis and/or dermis.  For ulcer debridement of the subcutaneous tissue you would report 11042 for the first 20 sq cm and CPT 11045 for each additional 20 sq cm.  Make certain documentation contains the sq cm of the debridement. These codes are used when there is no direct closure of the wound at the time of debridement nor is there a plan for closure as the wound will heal by secondary intention.

*This response is based on the best information available as of 11/16/17.