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High energy extracorporeal shock wave therapy (HE-ESWT) is a non-invasive medical procedure designed to promote healing in integumentary wounds. This therapy utilizes high-pressure shock waves, which are generated through a fluid medium such as water or a coupling gel, and directed towards a specific area of tissue. The primary goal of HE-ESWT is to enhance blood flow and reduce inflammation in the targeted area, thereby facilitating tissue regeneration and accelerating the healing process. This treatment is particularly beneficial for various types of wounds, including burns, acute traumatic injuries, chronic skin ulcerations, and skin flaps. Typically performed in an outpatient setting, HE-ESWT is conducted by a physician who is trained in the technique. Prior to the procedure, the wound is thoroughly examined, and the area designated for therapy is marked. In some cases, a mild sedative or local anesthetic may be administered to ensure patient comfort during the treatment. HE-ESWT can be delivered through several modalities, including electrohydraulic shock wave, electromagnetic shock wave, and piezoelectric shock wave. After the procedure, the treated wound is covered with an appropriate dressing to protect it and support the healing process. For billing purposes, the CPT® code 0299T is used for the initial wound treated, while 0300T is designated for each additional wound that may be treated during the same session.
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HE-ESWT is indicated for the treatment of various integumentary conditions that require enhanced healing. The following are the specific indications for which this procedure may be performed:
The procedure for HE-ESWT involves several key steps to ensure effective treatment of the wound. The following outlines the procedural steps:
Following the HE-ESWT procedure, patients are typically monitored for any immediate adverse reactions. The covered wound should be kept clean and dry, and patients are advised on proper care of the dressing. It is important to follow any specific post-procedure instructions provided by the physician to ensure optimal healing. Patients may be scheduled for follow-up visits to assess the progress of wound healing and determine if additional treatments are necessary. Overall, the expected recovery time may vary depending on the individual patient's condition and the extent of the wound being treated.
| Short Descr | ESW WOUND HEALING INIT WOUND | Medium Descr | ESW HI ENERGY W/TOPCAL APP &DRESNG CARE 1ST WND | Long Descr | Extracorporeal shock wave for integumentary wound healing, high energy, including topical application and dressing care; initial wound | 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) | 1 - Medical Care | Berenson-Eggers TOS (BETOS) | P6C - Minor procedures - other (Medicare fee schedule) | MUE | Not applicable/unspecified. | CCS Clinical Classification | 214 - Traction, splints, and other wound care |
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