97750 Physical Performance test or measurement (e.g., musculoskeletal, functional capacity), with written report, each 15 minutes:
* This testing may be medically necessary for patients with neurological or musculoskeletal conditions when such tests are needed to formulate or evaluate a specific treatment plan, or to determine a patient’s capacity.
* The patient’s medical record must document the problem requiring tests, the specific tests performed, and measurement report.
* Documentation of the need for more than 30 minutes of time should be submitted upon request.
* Requires direct one-on-one patient contact
97755 Assistive technology assessment (e.g., to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact by provider, with written report, each 15 minutes
* This procedure is medically necessary only when it requires the professional skills of a provider, is designed to address specific needs of the patient, and must be part of an active treatment plan directed at a specific outcome.
* The patient must have the capacity to learn from instructions.
* Documentation must relate the training to expected functional goals that are attainable by the patient.
* Requires direct one-on-one patient contact.
97597 Removal of devitalized tissue from wound(s), selective debridement, without anesthesia (e.g., high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel, and forceps), with or without topical application(s), wound assessment, and instruction(s) for ongoing care, may include use of a whirlpool, per session; total wound(s) surface area less than or equal to 20 square centimeters
97598 total wound(s) surface area greater than 20 square centimeters
* Though more than one wound may have been debrided, either code 97597 or 97598 may be billed only once per session.
* Consistent with reasonable and necessary guidelines, providers may bill CPT 11000-11044 codes. However, the providers should not bill 11000-11044 codes and the 97597 or 97598 together. But note that the 11000-11044 codes may be billed only by physicians (MDs and DOs) and qualified nonphysician practitioners (PA, NP, CNS), as defined by CMS and as allowed by individual State scope of practice.
* Billing for 97597 and 97598 entails all of the elements of these codes; i.e., debridement, wound assessment, and instructions for ongoing care.
* The simple removal and replacement of a dressing of any kind is “non-selective” debridement and is always bundled into another service.
* Per 2005 CPT, do not report 97597-97598 in conjunction with 11040-11044.
* If whirlpool is used for the same wound prior to selective debridement, it is bundled into the new code (97597 or 97598). However, if whirlpool is used for a different body part or body area on the same date of service than the area being debrided, it could be billed.
