Reimbursement & Coding
HCPCS Coding Guidance
Visit the PDAC website for the latest Coverage and Payment Rules, codes and general guidelines for seeking DME reimbursement through Medicare. These guidelines do not replace directions provided by CMS. AMERX Health Care recommends checking with PDAC for the latest updates regarding rules and regulations for dispensing DME products. PDAC – www.dmepdac.com
Common Wound Care Diagnosis & Debridement Codes for AMERX Products
AMERX Health Care has compiled a handy guide of Debridement Codes and ICD-10 Codes associated with dispensing AMERX Products, available exclusively to those health care providers already a part of the AMERX Family of Dispensing Physicians. While the information in this guide is intended to assist you and your practice with coding, the existence of a code does not guarantee payment. The information is accurate to the best of our knowledge at the time of publication, but coding guidelines can change and we always encourage you to stay up to date.
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The Latest in Reimbursement & Coding Information from the Blog
Lymphedema Treatment That Actually Works
Table of Contents 1. Lymphedema 2. Complications of Lymphedema 3. Lymphedema Versus Chronic Venous Insufficiency 4. Lymphedema Treatment 5. Lymphedema Coverage 6. Lymphedema Coverage Versus Chronic Venous Insufficiency Coverage 7. Coding 8. Lymphedema Diagnosis Read More →
How Many EXTREMIT-EASE’s Can We Dispense?
EXTREMIT-EASE The EXTREMIT-EASE compression garment provides 30-50 mmHg of therapeutic compression and has an innovative design that employs zippers and bungees with large tabs. This unique design results in a garment that improves compliance Read More →
New Coding When Caring For a Complex Condition
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Expansion of Coverage For EXTREMIT-EASE
On November 1, CMS released the CY 2024 Final Home Health Prospective Payment System Final Rule. This Rule contains significant changes that expands coverage for lymphedema treatment, including EXTREMIT-EASE. Lymphedema Coverage Starting January 1, Read More →
New ICD-10 Clinical Modifications
A new ICD-10 Clinical Modification (ICD-10-CM) code set took effect October 1, 2023. In this new code set, there are changes that may relate to the care of wounds using surgical dressings. Below is Read More →