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97602 Wound(s) care non-selective

What 97602 is

CMS fee schedule short descriptor: Wound(s) care non-selective.

Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.

Medicare payment for 97602 (CY2026)

This code has no Physician Fee Schedule rate: Bundled - payment is always bundled into another service. It may be paid under a different fee schedule (clinical laboratory, DMEPOS, anesthesia) or not paid at all - check the relevant CMS schedule.

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Medically Unlikely Edit (MUE)

Medicare caps 97602 at 0 units per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: CMS Policy. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 97602? These codes are bundled into it

97602 is a Column 1 code in 366 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 codeShort descriptionModifier indicator
00100Anes px salivary gland w/bx0 - no modifier bypassCheck pair
00102Anes px plstc rpr cleft lip0 - no modifier bypassCheck pair
00103Anes rcnstv px eyelid0 - no modifier bypassCheck pair
00104Anes electroconvulsive ther0 - no modifier bypassCheck pair
00120Anes px ear w/bx nos0 - no modifier bypassCheck pair
00124Anes px ear otoscopy0 - no modifier bypassCheck pair
00126Anes px ear tympanotomy0 - no modifier bypassCheck pair
00140Anes procedures on eye nos0 - no modifier bypassCheck pair
00142Anes px on eye lens surgery0 - no modifier bypassCheck pair
00144Anes px eye corneal trnspl0 - no modifier bypassCheck pair
00145Anes px eye vitreortnl surg0 - no modifier bypassCheck pair
00147Anes px on eye iridectomy0 - no modifier bypassCheck pair
00148Anes px eye ophthalmoscopy0 - no modifier bypassCheck pair
00160Anes px nose&sinus nos0 - no modifier bypassCheck pair
00162Anes px nose&sinus rad surg0 - no modifier bypassCheck pair
00164Anes px nose&sins bx sft tis0 - no modifier bypassCheck pair
00170Anes intraoral px nos0 - no modifier bypassCheck pair
00172Anes ntroral px rpr clft pal0 - no modifier bypassCheck pair
00174Anes ntrorl exc rtrphrng tum0 - no modifier bypassCheck pair
00176Anes intraoral px rad surg0 - no modifier bypassCheck pair
00190Anes px facial b1/skull nos0 - no modifier bypassCheck pair
00192Anes px fcl b1/skl rad surg0 - no modifier bypassCheck pair
00210Anes intracranial px nos0 - no modifier bypassCheck pair
00212Anes icr px subdural taps0 - no modifier bypassCheck pair
00214Anes icr px burr holes0 - no modifier bypassCheck pair
00215Anes icr px crnop/elvtn fx0 - no modifier bypassCheck pair
00216Anes icr px vascular px0 - no modifier bypassCheck pair
00218Anes icr px in sitting pos0 - no modifier bypassCheck pair
00220Anes icr px csf shunting px0 - no modifier bypassCheck pair
00222Anes icr px ecoag icr nrv0 - no modifier bypassCheck pair

Showing 30 of 366 column 2 codes. Use the pair checker for any specific combination.

97602 is bundled into these codes

97602 appears as a Column 2 code in 3536 active edits. Reported with one of these Column 1 codes on the same date of service, 97602 is the code that denies.

Column 1 codeShort descriptionModifier indicator
0100TProsth retina receive&gen1Check pair
0164TRemove lumb artif disc addl1Check pair
0165TRevise lumb artif disc addl1Check pair
0184TExc rectal tumor endoscopic1Check pair
0200TPerq sacral augmt unilat inj1Check pair
0201TPerq sacral augmt bilat inj1Check pair
0202TPost vert arthrplst 1 lumbar1Check pair
0234TTrluml perip athrc renal art1Check pair
0235TTrluml perip athrc visceral1Check pair
0236TTrluml perip athrc abd aorta1Check pair
0237TTrluml perip athrc brchiocph1Check pair
0238TTrluml perip athrc iliac art1Check pair
0253TInsert aqueous drain device1Check pair
0308TInsj ocular telescope prosth1Check pair
0402TColgn crs-link crn&pachymtry1Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.