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
AMERX Health Care regularly reviews and releases the latest HCPCS Coding Guidance related to our products. Download your copy today!
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
Choosing the Proper Dressing Size
When dispensing surgical dressings, the dressing size should be selected based on the size of the ulcer being treated. From a clinical standpoint, the dressing should cover the entire ulcer. From a compliance and Read More →
“Detailed Written Order” Becomes “Standard Written Order”
As of January 1, 2020, the DMEMAC requirement for a "Detailed Written Order" when ordering surgical dressings has changed to the requirement for a "Standard Written Order". Elements of a Standard Written Read More →
Updates to Surgical Dressing Documentation Requirements
AMERX Health Care provides you with extensive resources that include everything you need for perfect documentation to ensure compliance when dispensing dressings. The majority of this guidance comes from the DMEMAC Surgical Dressing Policy Read More →
How Much Are You Getting Paid For That? Part II
In last month's post, we provided the information needed to access the current durable medical equipment (DME) and/or prosthetics (DMMEPOS) fee schedule. When opening the file for the current fee schedule, the HCPCS codes Read More →
How Much Are You Getting Paid For That? Part 1
This should not be a guessing game, nor should it be a mystery. Knowing what your reimbursement should be for a service is an important tool in planning treatments and in checking your Explanation Read More →
