{
    "code": "97597",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/97597/2018/A",
    "release_specific_url": "https://localishealth.com/cpt/97597/2018/C",
    "description": "Careful removal of dead tissue, slough, and debris from the surface of an open wound so that healthy tissue underneath can heal. The clinician works with scissors, forceps, a scalpel, or a high-pressure water jet, taking only non-viable tissue and leaving living tissue intact — that selectivity is what distinguishes it from surgical debridement, which cuts into healthy tissue down to muscle or bone. The session also takes in assessing the wound, applying topical treatment, and teaching the patient how to care for it between visits. This code covers the first band of total wound surface area; larger areas are picked up by a companion code.",
    "answer": {
        "question": "How much did Medicare pay for CPT 97597 in Q3 2018?",
        "text": "Medicare paid $85.32 for CPT 97597 in the office (non-facility) setting and $24.48 in a facility under the Q3 2018 Physician Fee Schedule, effective July 2018. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2018, when it increased 11.6%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2018,
        "quarter": "C",
        "label": "Q3 2018",
        "effective": "July 1 – September 30, 2018",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 85.32,
        "facility": 24.48,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.51,
        "practice_expense_non_facility": 1.84,
        "practice_expense_facility": 0.15,
        "malpractice": 0.02
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.9996,
    "source": {
        "label": "Physician relative value file (Q3 2018)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu18c1.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2018/C",
        "file": "PPRRVU18_JUL.csv",
        "row": 16417,
        "sha256": "514e3c115f8e62a35eb5f78fef7ed12ed7b60b22a5fe3f3f1bb5aadf119663c5"
    },
    "modified_at": "2026-08-04T03:08:27+00:00"
}