what icd-10 code is used for disposable npwt

What is the HCPCS code for NPWT?

Some HCPCS codes that are associated with NPWT are: G0456: NPWT ≤50s cm 2; mechanically powered device; includes cartridge, dressing, application, wound assessment, and instructions for care G0457: NPWT >50 cm 2; mechanically powered device; includes cartridge, dressing, application, wound assessment, and instructions for care

What is the contraindication for negative pressure wound therapy (NPWT)?

ICD-10 codes contraindicated for Negative Pressure Wound Therapy (NPWT): C00.0 - C96.9 D00.00 - D09.9: Malignant neoplasms [cancer present in wounds] I96: Gangrene, not elsewhere classified [presence in the wound of necrotic tissue with eschar if debridement is not attempted] L08.9

What does NPWT stand for?

For purposes of this policy, a NPWT pump describes a stationary or portable Negative Pressure Wound Therapy (NPWT) electrical pump which provides controlled subatmospheric pressure that is designed for use with NPWT dressings and canisters to promote wound healing.

Can NPWT be used in the inpatient setting?

Surgical or traumatic wounds may be treated with NPWT in the inpatient setting, provided that there’s clear documentation of medical necessity. In short, provide written documentation that the NPWT device will achieve accelerated formation of granulation tissue that cannot be achieved by other topical wound therapies.

How do you bill a wound VAC application?

97605: Negative pressure wound therapy (e.g., vacuum-assisted drainage collection), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters.

What does NPWT mean in wound care?

Negative-pressure wound therapy (NPWT) is a sealed wound-care system and is particularly indicated for large chronic persistent wounds and acute complicated wounds (1, 2). The system consists of an electronically controlled pump and a foam dressing that drains the wound.

What is the disposable wound vac called?

V.A.C.VIA™ Therapy System V.A.C. Via™ Therapy System (KCI, San Antonio, TX) is a portable single patient use negative pressure wound therapy device that offers 7 days of therapy.

Is a wound vac considered a drainage device?

A wound VAC, or vacuum-assisted closure, device uses continuous or intermittent negative pressure at the wound site to help promote healing by removing exudate and drainage (also known as negative-pressure wound therapy).

When is NPWT contraindicated?

Necrotic tissue with eschar/ dry wounds: If a dry, necrotic eschar is covering the wound, or if there is a large amount of necrotic tissue present, NPWT is not appropriate.

What are negative pressure therapy devices used for?

They are designed to provide sub-atmospheric pressure to a wound to promote wound healing and for the removal of fluids such as wound exudate, irrigation fluids, bodily fluids or infectious materials.

When can you bill for a wound vac?

New. Wound vac is considered above and beyond normal wound dressings. It is billable to insurance as long as the provider documents it was placed. The total surface area of the wound must be documented to support billing either 97607 or 97608.

What is a snap wound vac?

The 3M™ Snap™ Therapy System is a mechanically-powered, disposable NPWT device which combines the simplicity of advanced wound dressings with negative pressure wound therapy in a discreet design.

Are there different types of wound vacs?

There are three different techniques available with wound vac treatment. Each one involves a different type of dressing. The type of dressing used is dependent upon the type of wound and the objective when treating it.

How does a disposable wound vac work?

Wound vac technology is a dressing that has battery powered suction (vacuum) to aid in the wound healing process. It places a constant suction power on your incision site. The dressing is applied under sterile conditions in the operating room and remains in place for 7 days.

What is the difference between 97605 and 97607?

Codes 97605 and 97606 are used for placement of a non-disposable wound vac device, while codes 97607 and 97608 are used if the wound vac is disposable.

General Information

CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Article Guidance

For any item to be covered by Medicare, it must 1) be eligible for a defined Medicare benefit category, 2) be reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member, and 3) meet all other applicable Medicare statutory and regulatory requirements.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

General Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Article Guidance

The Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS) code (s) may be subject to Correct Coding Initiative (CCI) edits. This information does not take precedence over CCI edits.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

What is NPWT in wounds?

Dale and Saeed (2015) noted that the use of NPWT with instillation (NPWTi) in complex or difficult-to-treat acute and chronic wounds has expanded rapidly since the introduction of commercially available NPWTi systems. These researchers summarized the evidence related to NPWTi and particularly focus on the application of this technology in diabetic foot ulcers, diabetic foot infections and post-operative diabetic wounds. The benefits of NPWT are well-documented in the treatment of complex acute and chronic wounds, including non-infected post-operative diabetic wounds and diabetic foot ulcers. Combining intermittent wound irrigation with NPWT may offer additional benefits compared to NPWT alone, including further reduction of wound bed bio-burden, increased granulation tissue formation and provision of wound irrigation in a sealed environment, thus preventing potential cross-contamination events. Recently, available evidence suggested that adjunctive NPWTi may be superior to standard NPWT in the management of diabetic infections following surgical debridement and may promote granulation tissue formation in slow-to-heal wounds. The authors concluded that available evidence relating to the utilization of NPWTi in diabetic foot infections is promising but limited in quality, being derived mostly from case series or small retrospective or prospective studies. They stated that in order to confirm or refute the potential benefits of NPWTi in this patient cohort, well-designed RCTs are needed that compare NPWTi to NPWT or standard wound care methodologies.

What are the key words used in the study of negative pressure wound therapy?

These researchers conducted a systematic search of studies published between January 1966 and September 2019 using the PubMed, Medline, Embase, and SCOPUS databases and using the following key words: "negative pressure wound therapy", "head and neck", and "fistula".

Does NPWT decrease SSI?

Shen and colleagues (2017) noted that surgical site infections (SSI) remain a major source of morbidity and cost following resection of intra-abdominal malignancies; and NPWT has been reported to significantly decrease SSI when applied to the closed laparotomy incision. These investigators reported results of a randomized, phase II clinical trial, clinical trial examining the effect of NPWT on SSI rates in surgical oncology patients with increased risk for infectious complications. From 2012 to 2016, a total of 265 patients underwent open resection of intra-abdominal neoplasms were stratified into 3 groups:

Is an ulcer considered an NPWT?

An ulcer or wound (described in section I above) is encountered in the inpatient setting and, after wound treatments described in I-A through I-D for the various types of ulcers above have been tried or considered and ruled out, it is necessary to initiate NPWT.

Does WPATH mention NPWT?

The World Professional Association for Transgender Health (WPATH)’s “Standards of Care for the Health of Transsexual, Transgender, and Gender Nonconforming People, 7th Version (Coleman et al, 2012) did not mention NPWT for post-operative care.