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Update Charge Description Master

2020 National Average Medicare Coding and Payment Rates for PICO sNPWT

Important reminders

Suggestions when using single use negative pressure wound therapy “sNPWT” eg PICO sNPWT:
  1. Verify that sNPWT codes 97607 and 97608 are listed on your Charge Description Master (CDM)
  2. Verify the HOPD charges for sNPWT codes 97607 and 97608 include the combined charges for the PICO device and for the work to assess the wound, to apply the PICO device, and to provide instructions for ongoing use
  3. Verify that the charges for 97607 and 97608 are different than the charges for 97605 and 97606 (which should not include a charge for the NPWT durable medical equipment)

CAUTION: Many HOPD Charge Description Masters mistakenly cross-walk the same charges from 97605/97606 to 97607/97608. This fails to capture the cost of the PICO device in the HOPD charges for 97607 and 97608. Understanding the importance of updating your CDM for sNPWT to ensure charges reflect the fact that sNPWT always includes the purchase of the device, while Traditional Negative Wound Therapy (tNPWT) does not.

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Do you have questions about your PICO sNPWT therapy? Find out information on what PICO sNPWT is and how you can get back to your daily life.

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Our reimbursement helpline provides you with information concerning questions regarding coding, payments and coverage for PICO sNPWT.