• Thursday, January 16, 2014RSS Feed

    New Wound Treatment Code Available to PTs

    A new code for the use of a modality to heal wounds using sound energy has been made available to physical therapists (PTs) in the 2014 version of the Current Procedural Terminology (CPT) document maintained by the American Medical Association (AMA).

    The new active wound care management code—97610—replaces Category III code 0183T. The modality uses acoustic energy to atomize saline and deliver ultrasound energy by way of a continuous mist to the wound bed and surrounding tissue, and is identified as "low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day."

    Always check payer policy to determine coverage of this code. For more information on CPT codes, visit APTA's Coding and Billing webpage.


    Comments

    Just a note regarding the new code 97610 commonly referred to as MIST (Celeration) US--Some insurance companies currently (Dec, 2014) consider this code unfortunately to be "investigational & experimental" and will not cover the procedure until according to one provider (PEHP) in particular, this form of US is more widely-accepted by the medical community. Some Medicaid providers also do not cover the procedure. Hope that helps.
    Posted by Kevin Kohler on 12/12/2014 1:23 PM
    What is Medicare's thoughts on covering the MIST treatment? Wanting first hand knowledge from our community. We are currently exploring this option for our clinic.
    Posted by Laura C on 5/8/2015 11:47 AM
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