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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 circulation and reduce inflammation in the targeted area, thereby facilitating tissue regeneration and accelerating the healing process. This treatment modality 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 administered by a physician who is trained in the technique. Prior to the procedure, the physician examines the wound and marks the area designated for therapy. In some cases, a mild sedative or local anesthetic may be provided to ensure patient comfort during the treatment. HE-ESWT can be delivered through several different technologies, 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, CPT® code 0299T is used for the initial wound treated, while CPT® code 0300T is designated for each additional wound that is 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 specific indications for this procedure include:
The procedure for HE-ESWT involves several key steps to ensure effective treatment of the targeted wound. The following outlines the procedural steps:
Following the HE-ESWT procedure, patients are typically monitored for any immediate reactions. The covered wound should be kept clean and dry, and patients are advised on how to care for the dressing. Expected recovery may vary depending on the individual and the specific wound being treated. Patients may be instructed to follow up with their physician to assess healing progress and determine if additional treatments are necessary. It is important for patients to report any unusual symptoms or complications that may arise during the recovery period.
| Short Descr | ESW WOUND HEALING ADDL WOUND | Medium Descr | ESW HI ENERGY W/TOPCAL APP &DRESNG CARE ADL WND | Long Descr | Extracorporeal shock wave for integumentary wound healing, high energy, including topical application and dressing care; each additional wound (List separately in addition to code for primary procedure) | Status Code | Carriers Price the Code | Global Days | ZZZ - Code Related to Another Service | 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 | Items and Services Packaged into APC Rates | Type of Service (TOS) | 2 - Surgery | 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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