Exam 3

Question 1

Most codes for wound care begin with:

Answer 1

97xxx

Question 2

What are the clinical indicators for wound care?

Answer 2

Slow to heal wounds
Significant health factors that impair recovery
Multiple, severe, or extensive wounds
Increasing severity of tissue impairment, infection, necrosis, undermining or increased size
Complexity and sophistication of intervention

Question 3

According to the LCD, which interventions can be provided by a non-skilled person?

Answer 3

Topical medication
Lovage
Whirlpool
Dressings

Question 4

What functional G-code should you use with wound care?

Answer 4

Other; you may also use CH as the modifier

Question 5

The PUSH tool does not account for:

Answer 5

Depth

Question 6

Reimbursement in the acute care setting:

Answer 6

DRGs

Question 7

Reimbursement in the SNF setting:

Answer 7

RUGs

Question 8

Reimbursement in a rehab hospital

Answer 8

FRGs

Question 9

Reimbursement in home health:

Answer 9

HHUGs

Question 10

In the outpatient setting, wounds must:

Answer 10

• caused by or treated by a surgical procedure
• require debridement
• burns treated by skin grafting
• catheter entry points EXCEPT infusion pumps

Question 11

Non-qualifying wounds

Answer 11

Skin condition treated with topical medication
Draining cutaneous fistula
Healed wound
First degree wound
Skin tear or abrasion
Venipuncture or arterial puncture site

Question 12

Code for debridement

Answer 12

97597; covers debridement and associated dressings, covers the first 20 square cm or less.

Question 13

97598

Answer 13

Code for each additional 20 square cm of wound

Question 14

It is unusual to debridement for:

Answer 14

More than 1x per week or for longer than 3 mos

Question 15

Non-selective debridement

Answer 15

97602 - not paid by CMS

Question 16

Documentation for active wounds must include:

Answer 16

Current size, depth, presence and extent of or absence of obvious signs of infection, presence and extent of or absence of necrotic, tissue

Question 17

Measure changes in:

Answer 17

Drainage
Inflammation
Swelling
Pain
Wound dimensions
Necrotic tissue

Question 18

Electrical stimulation is reimbursed when:

Answer 18

For chronic wounds if there is no measurable signs of improvement for at least 30 days of standard wound care

Question 19

Before applying a NPWT, what should be considered before applying?

Answer 19

• patients medical record
• wound measurements
• application of dressings to maintain a moist environment
• debridement of any necrotic tissue
• evaluation of and provision for adequate nutritional status