07/24/2017

Correct CPT Code for Excision of Scar Tissue-L90.5

Trying to get approval from Department of Labor for a surgery - excision of scar tissue - dx code L90.5 in order for them to approve the surgery, they need a valid CPT4 code that matches this code - suggestion?

For sharp, selective debridement for the removal of scar tissue, CPT 28043 would be inappropriate. CPT code 97597 would be more suitable for the service:

Code Description:

97597

Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less

Lay Description (Code):

A health care provider performs wound care management by using selective debridement techniques to remove devitalized or necrotic tissue from an open wound. Selective techniques are those in which the provider has complete control over which tissue is removed and which is left behind, and include high-pressure waterjet with or without suction and sharp debridement using scissors, a scalpel, or forceps. Wound assessment, topical applications, instructions regarding ongoing care of the wound, and the possible use of a whirlpool for treatment are included in these codes. Report 97597 for a total wound surface area less than or equal to 20 sq cm and 97598 for each additional 20 sq cm or part thereof.