Update Charge Description Master

2026 National Average Medicare Coding and Payment Rates for PICO sNPWT

Important reminders

Suggestions when using single use negative pressure wound therapy “sNPWT” eg PICO sNPWT:
  1. Verify that sNPWT codes 97607 and 97608 are listed on your Charge Description Master (CDM)
  2. Verify the HOPD charges for sNPWT codes 97607 and 97608 include the combined charges for the PICO device and for the work to assess the wound, to apply the PICO device, and to provide instructions for ongoing use
  3. Verify that the charges for 97607 and 97608 are different than the charges for 97605 and 97606 (which should not include a charge for the NPWT durable medical equipment)

CAUTION: Many HOPD Charge Description Masters mistakenly cross-walk the same charges from 97605/97606 to 97607/97608. This fails to capture the cost of the PICO device in the HOPD charges for 97607 and 97608. Understanding the importance of updating your CDM for sNPWT to ensure charges reflect the fact that sNPWT always includes the purchase of the device, while Traditional Negative Wound Therapy (tNPWT) does not.

Information on reimbursement in the U.S. is provided as a courtesy. Due to the rapidly changing nature of the law and the Medicare payment policy, and reliance on information provided by outside sources, the information provided herein does not constitute a guarantee or warranty that reimbursement will be received or that the codes identified herein are or will remain applicable. This information is provided “as is” and without any other warranty or guarantee, expressed or implied, as to completeness or accuracy, or otherwise.

This information has been compiled based on data gathered from many primary and secondary sources, including the American Medical Association (AMA), and certain Medicare contractors. Providers must confirm or clarify coding and coverage from their respective payers, as each payer may have differing formal or informal coding and coverage policies or decisions. Providers are responsible for accurate documentation of patient conditions and for reporting of products in accordance with particular payer requirements.