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When performed in conjunction with another wound care service, the dressing change is considered an integral component of that service and is not a separately covered service. Cpt 97597 and/or cpt 97598 are not limited to any specialty as long as it is performed by a health care professional acting within the scope of his/her legal authority. The surgical dressings reference chart provides a quick look at what surgical dressings are covered for various wound depths and exudates, along with medicare's recommended frequency of change coverage information.

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Usual dressing change is up to once per week Typically bill cpt 97597 and/or cpt 97598 for recurrent wound debridements when medically reasonable and necessary Foam dressings are covered when used on full thickness wounds (e.g., stage iii or iv ulcers) with moderate to heavy exudate

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Usual dressing change for a foam wound cover used as a primary dressing is up to 3 times per week.

The frequency of recommended dressing changes depends on the type and use of the surgical dressing When combinations of primary dressings, secondary dressings, and wound filler are used, the change frequencies of the individual products should be similar. Medicare coverage for wound care on a continuing basis, for a given wound, in a given patient, is contingent upon evidence documented in the patient's medical record that the wound is improving in response to the wound care being provided. Dressing change for hydrogel wound covers without adhesive border or hydrogel wound fillers is up to once per day

Dressing change for hydrogel wound covers with adhesive border is up to 3 times per week. All providers who report services for medicare payment must fully understand and follow all existing laws, regulations, and rules for medicare payment for additional wound care sessions and must properly submit only valid claims for them. Wound care must be performed in accordance with accepted standards for medical and surgical treatment of wounds The appropriate interval and frequency of debridement depends on the individual clinical characteristics of the patient and the extent of the wound.

If a treating practitioner applies surgical dressings as part of a professional service that is billed to medicare, the surgical dressings are considered incident to the professional services of the health care practitioner and are not separately payable.