CPT® Code 0183T | Case2Code

Code deleted, see 97610

Official Description

Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day

Common Language Description

Low frequency, non-contact, non-thermal ultrasound is a therapeutic procedure designed to enhance the healing process of various types of wounds. This innovative modality is particularly effective for chronic wounds, including pressure ulcers, diabetic foot ulcers, vascular ulcers, and dehisced surgical wounds. The procedure utilizes an ultrasound system that comprises an ultrasonic generator and a disposable sterile applicator. The technology operates by emitting continuous low-frequency acoustic energy, which atomizes saline into a fine mist that is delivered to the wound bed without direct contact. This non-invasive approach facilitates the treatment of wounds by creating cavitation and acoustic mainstreaming effects, which are essential for stimulating tissue granulation and promoting cellular repair. During the procedure, a comprehensive wound assessment is conducted, which includes measuring the wound and documenting its condition through photographs. The surrounding tissue is cleansed to ensure a sterile environment for treatment. The disposable applicator is then affixed to the transducer, and treatment parameters are carefully selected based on the specific needs of the wound. The saline source is integrated into the applicator, allowing for the effective application of the ultrasound mist. The applicator is maneuvered in a serpentine pattern above the wound bed, maintaining a distance of 5-10 mm from the wound surface to optimize treatment efficacy. After the ultrasound application, the disposable components are discarded, and the remaining equipment is disinfected. Finally, the wound bed is gently wiped with sterile gauze, and an appropriate dressing is applied to protect the area and support the healing process. This procedure is reported on a per day basis and includes any topical applications performed, along with instructions for ongoing care to ensure continued healing and management of the wound.

1. Indications

The low frequency, non-contact, non-thermal ultrasound procedure is indicated for the treatment of various chronic wound types. The specific conditions for which this procedure is performed include:

Pressure Ulcers - These are localized injuries to the skin and underlying tissue, typically over bony prominences, due to prolonged pressure.
Diabetic Foot Ulcers - These are wounds that occur on the feet of individuals with diabetes, often resulting from neuropathy and poor circulation.
Vascular Ulcers - These ulcers are caused by inadequate blood flow, often associated with venous insufficiency or arterial disease.
Dehisced Surgical Wounds - These are surgical wounds that have reopened, which can occur due to infection, tension, or inadequate healing.

2. Procedure

The procedure involves several critical steps to ensure effective treatment of the wound. Each step is designed to maximize the therapeutic benefits of low frequency, non-contact, non-thermal ultrasound.

Wound Assessment - Initially, a thorough assessment of the wound is conducted. This includes measuring the size of the wound and documenting its characteristics through photographs to track healing progress.
Cleansing the Wound - The wound and surrounding tissue are cleansed to remove any debris or contaminants, ensuring a sterile environment for treatment.
Preparation of the Ultrasound Device - The disposable applicator is attached to the transducer of the ultrasound device. Treatment parameters are selected based on the specific needs of the wound.
Saline Application - A saline source is inserted into the applicator, which will be used to deliver the ultrasound mist to the wound bed.
Ultrasound Treatment - The applicator is positioned 5-10 mm above the wound surface and moved in a serpentine fashion over the entire wound bed. This ensures that the ultrasound mist is evenly distributed across the wound area for the prescribed treatment duration.
Post-Treatment Cleanup - After the treatment is completed, the disposable applicator and saline source are discarded. Other components of the ultrasound device are disinfected to maintain hygiene.
Dressing the Wound - Finally, the wound bed is wiped with sterile gauze, and an appropriate dressing is applied to protect the wound and support the healing process.

3. Post-Procedure

After the low frequency, non-contact, non-thermal ultrasound procedure, it is essential to monitor the wound for signs of healing and any potential complications. Patients are typically provided with instructions for ongoing care, which may include guidelines on how to keep the wound clean and protected, as well as recommendations for follow-up appointments to assess healing progress. The frequency of subsequent treatments may be determined based on the wound's response to therapy and the overall healing trajectory. Proper documentation of the procedure and any changes in the wound's condition is crucial for ongoing management and care.

Short Descr	WOUND ULTRASOUND
Medium Descr	LOW FREQUENCY WOUND ULTRASOUND
Long Descr	Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day
Status Code	Carriers Price the Code
Global Days	XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC)	0 - Physician Service Code
Multiple Procedures (51)	0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50)	0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions	09 - Concept does not apply.
Assistant Surgeon (80, 82)	0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62)	0 - Co-surgeons not permitted for this procedure.
Team Surgery (66)	0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family	99 - Concept Does Not Apply
APC Status Indicator	Procedure or Service, Multiple Reduction Applies
Type of Service (TOS)	9 - Other Medical Items or Services
Berenson-Eggers TOS (BETOS)	none
MUE	Not applicable/unspecified.
CCS Clinical Classification	174 - Other non-OR therapeutic procedures on skin and breast