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Medical Billing / Wound Care and Hyperbaric Medicine

Wound Care and Hyperbaric Billing

Wound care is one of the most audited areas in Medicare. Since January 1, 2026, Medicare pays most skin substitutes as supplies at a set rate per square centimeter. Physicians Professional Billing Services, Inc. has billed for physician practices since 1998.

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Key Codes

CodesServiceCommon Denial
97597, 97598Selective debridementWound size not documented
11042 to 11047Debridement by depthDepth not supported by the note
15271 to 15278Skin substitute applicationProduct, size or application count missing
97605 to 97608Negative pressure wound therapyWrong device type
99183, G0277Hyperbaric oxygenCondition not covered or supervision not documented

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Other specialties: Dermatology · Podiatry · Neurology and Neurosurgery · General Surgery · Plastic Surgery

Sources: CMS Physician Fee Schedule · Noridian: Hyperbaric Oxygen Therapy. Updated November 1, 2026.

PECS and Physicians Professional Billing Services, Inc. are related businesses, and PECS may receive a referral fee. You pay nothing extra.

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