Dr. Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC

Separately Identifiable E/M Demystified

Does dispensing surgical dressings at the same encounter as an ulcer debridement count as an evaluation and management (E/M)? Short answer: Probably not. Longer answer: It depends. It depends on what was performed, documented, and medically necessary.  You can submit an E/M at the same time as a debridement (or any procedure) if—and only if—an […]

AMERX® Wound Care Kit - Hydrogel

Coding For A Debridement? Be Sure Your Diagnosis Code Makes Sense.

The surgical dressings available from AMERX Health Care are only covered by a patient’s insurance if they are being used for a surgical wound or a debrided wound.  This debridement can be surgical, mechanical, chemical or autolytic.  When performing a surgical debridement, both the CPT code selection and ICD-10 code selection are important. CPT Coding […]

AMERX HCPCS Coding Guidance

Wound vs. Ulcer – Does It Matter?

While some physicians may interchange the terms “ulcer” and “wound” as if they are synonyms, when it comes to ICD-10, your choice of words DOES matter! What is the Difference between a Wound and an Ulcer? In ICD-10 language, a “wound” is something traumatic.  An “ulcer” refers to a break in the skin that fails […]

AMERX 30-Day Wound Care Kit with HELIX3-CM®

One Ulcer, Two Dressings

Can You Bill For Two Different Dressings For The Same Ulcer?  The answer is… YES! When can you dispense two dressings for the same ulcer?  When a primary dressing, like collagen powder, is dispensed and requires a secondary dressing for securement, you can dispense both the primary and secondary dressings for the same ulcer—and bill […]

Dr. Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC

To Combine or Not to Combine

Multiple surgical dressings can be combined to appropriately cover a wound, however there are dressing combinations that are not appropriate.   Different surgical dressings have different indications and you should not combine two dressings that have different indications for the same wound. One example of something that should not be done is to use a dressing […]

HELIX3® Bioactive Collagen | AMERX Health Care

Updates To LCD Regarding Collagen Dressings

Noridian Issues a Clarification Notice About Updated Collagen Dressings Coverage Prior to the latest LCD changes, DME providers who dispensed collagen for patients at-home use, could only receive coverage for full-thickness wounds. Since the middle of 2017, however, the guidelines for coverage have been amended. Collagen is now covered for three wound types: Full-thickness wounds […]

EXTREMIT-EASE was named a Top 10 Innovation of the Year in Podiatry Today's July 2017 Issue

EXTREMIT-EASE® Listed Among Top 10 Innovations in Podiatry

Clearwater, Fla. (July 13, 2017)—The new EXTREMIT-EASE® Compression Garment by AMERX Health Care has been named as one of this year’s Top 10 Innovations in Podiatry Today—a leading industry publication. Among the reasons for inclusion in the industry’s most notable advancements is the garment’s unique combination of a zipper and bungee cords with large tabs, […]