Hi,
My physicians do in home wound care. The CPT codes for 11042 and 97597 and 97598 descriptions have changed for 2011. I am now getting rejections from our carrier WPS Medicare stating that the
11042 debridements codes the code billed is inconsistent with the place of service.
Has anyone heard that "surgery" codes of 11042 can no longer be done in the place of service (home)?
Is it written anywhere that is easily accessible?
I have read the wound care policies that WPS Medicare has and nowhere does it say that surgery cannot be done in place of service home.
Anyone in Detroit, Michigan area I can talk to? Thanks