“I do some part time work in a wound care center. I frequently use CPT 97597 for coding. My biller is telling me not to bill CPT 97597 because it reimburses around $25 or less in a wound care center. However, the facility likes and even encourages me to use CPT 97597. If I do a selective debridement, can I bill CPT 99213 or CPT 99212 instead of CPT 97597? I know that I should not bill CPT 99213-Modifier 25 if there isn’t a separate complaint. Am I required to bill 97597? Is this a scenario that I should be considering CPT 11042?”
To provide a comprehensive evaluation for a medical professional, we need to move beyond "cybersecurity news" and address how these events threaten the Continuity of Care, Patient Safety, and Legal Compliance.
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“After watching some E/M presentations, it was suggested that hospital consultations should be billed with CPT 99252-CPT 99255. When we billed these codes, our EMR system and our clearing house rejected the codes. They are saying effective 1/1/2010, CMS has announced that they will reject codes. Are we billing the right codes?”
by Cindy Pezza, PMAC, CEO Pinnacle Practice Achievement
February 17, 2026
By justina
0 Comments
Podiatrists who own their practices are continually investing in them. By choice as well as necessity, there is never a shortage of line items in the expense column. Tangible supplies that keep clinic sessions running are a given, while others, like software upgrades and new capital equipment are an investment in the future. But, what about non-monetary investments that may have an even greater impact on success? First and foremost, and perhaps the most valuable, time. When we run out of time, there is no “order again” button. No one understands this more in podiatry practices than physician owners.