2025 CPT code 97597
Effective Date: N/A Revision Date: N/A Medicine - Physical Medicine and Rehabilitation Feed
Debridement of an open wound using selective methods like high-pressure waterjet, sharp instruments (scissors, scalpel, forceps), including topical applications, wound assessment, whirlpool use (if performed), and patient instructions for ongoing care. This code applies to a wound surface area of 20 sq cm or less.
Modifiers may be applicable to this code. Common modifiers include 52 (Reduced Services), 53 (Discontinued Procedure), 59 (Distinct Procedural Service), and 78 (Return to the Operating Room).
Medical necessity for debridement is established when the presence of devitalized tissue impairs wound healing.This may include necrotic tissue, fibrin, debris, or biofilm.Documentation should support that the debridement was necessary to promote healing and prevent complications.
The physician or qualified healthcare professional performs the selective debridement, assesses the wound, applies topical treatments, and provides instructions for ongoing care.
In simple words: The healthcare provider cleans a wound by removing dead tissue.They might use tools like special water jets, scissors, or a scalpel. Medicine might be applied, and the wound is assessed. Instructions for home care are also provided. This code covers wounds up to about 3 square inches.
Selective debridement of devitalized tissue from an open wound using techniques such as high-pressure waterjet with or without suction, sharp debridement with scissors, scalpel, and forceps.The procedure includes topical applications, wound assessment, and instructions for ongoing care. Use of a whirlpool is included when performed. The code is applicable to a total wound surface area of 20 square centimeters or less.
Example 1: A patient presents with a pressure ulcer on their heel measuring 15 sq cm. The provider performs sharp debridement with a scalpel, applies a topical ointment, and provides wound care instructions., A patient with a diabetic foot ulcer of 10 sq cm undergoes debridement using a high-pressure waterjet. The wound is assessed, a dressing is applied, and the patient receives instructions for ongoing care., A patient has a traumatic wound on their arm measuring 20 sq cm with significant fibrin and debris.The provider performs debridement using forceps and scissors, applies topical medication, assesses the wound, and instructs the patient on wound care management.
Documentation should include the wound's location, size (in sq cm), the method of debridement used, any topical applications, assessment details, and instructions provided for ongoing wound care. The medical necessity of the debridement should also be documented.
- Specialties:General Surgery,Plastic Surgery,Podiatry,Dermatology,Family Medicine
- Place of Service:Office,Outpatient Hospital,Home,Skilled Nursing Facility,Nursing Facility