Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less th
CPT4 code
Name of the Procedure:
Negative pressure wound therapy (NPWT), also known as vacuum-assisted closure (VAC) therapy.
Summary
Negative pressure wound therapy involves the application of a vacuum to a wound using special equipment. This therapy helps remove fluid from the wound and promotes healing.
Purpose
NPWT is designed to treat complex wounds, such as those that are chronic or slow to heal. The goals are to reduce wound size, promote tissue regeneration, and decrease infection risk.
Indications
- Chronic wounds (e.g., diabetic ulcers, pressure ulcers)
- Acute wounds (e.g., traumatic injuries)
- Post-surgical wounds with complications such as infections or poor healing
- Patients with compromised healing, such as those with diabetes or poor circulation
Preparation
- Clean the wound area thoroughly.
- Assess the wound size and condition.
- No specific pre-procedure fasting or medication adjustments required.
- Routine blood tests and assessments might be performed to ensure suitability.
Procedure Description
- The wound is cleaned and assessed.
- A foam dressing is cut to fit the wound and placed directly on it.
- An airtight dressing is placed over the foam.
- A tube connected to a vacuum pump is attached to the dressing.
- The vacuum pump creates negative pressure, drawing out excess fluids and promoting blood flow to the area.
- The settings of the pump are adjusted to ensure optimal pressure is maintained.
Tools/Equipment:
- Foam dressing.
- Airtight adhesive dressing.
- Vacuum pump (DME).
No anesthesia or sedation is typically required.
Duration
The application process takes about 15-30 minutes. The therapy continues for an extended period, with dressing changes every 24-72 hours, as advised by the healthcare provider.
Setting
This procedure can be performed in various settings such as outpatient clinics, hospitals, or at home with proper training and equipment.
Personnel
- Wound care specialist
- Nurse
- Healthcare provider for patient instructions
Risks and Complications
- Skin irritation from adhesive dressing.
- Risk of infection if the dressing is not properly maintained.
- Pain or discomfort during dressing changes.
- Possible allergic reactions to dressing materials.
Benefits
- Accelerated wound healing.
- Reduced wound size.
- Lower risk of infection.
- Enhanced quality of life due to quicker recovery.
Recovery
- Follow all care instructions provided.
- Regularly change dressings as directed.
- Monitor for signs of infection (e.g., increased redness, swelling).
- Schedule follow-up appointments.
Alternatives
- Traditional wound care with dressings.
- Hyperbaric oxygen therapy.
- Surgical intervention for wound closure.
- Each alternative has its own pros and cons in terms of efficacy, cost, and time involved.
Patient Experience
- Mild discomfort during initial application and dressing changes.
- Potential relief from pain as the wound starts to heal.
- Instructions on pain management strategies will be provided.