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.
Must be logged in to access this content
The Latest in Reimbursement & Coding Information from the Blog
Time to Start Using Medicare Beneficiary Identifiers
The Centers for Medicare and Medicaid Services (CMS) have removed social security-based claim numbers from Medicare cards and are instead using Medicare Beneficiary Identifiers (MBIs) for Medicare transactions. All Medicare beneficiaries have received their Read More →
Can You Dispense Surgical Dressings/Wound Care Supplies to an Inpatient?
The short answer is...No. Medicare will not make separate payments for items dispensed during any inpatient stay in acute care hospitals, long-term care hospitals, inpatient rehabilitation facilities, or critical access hospitals. Medicare makes payments Read More →
Can You Dispense Surgical Dressings/Wound Care Supplies to A Nursing Home Patient?
If you can't dispense surgical dressings/wound care supplies to your inpatients, can you dispense supplies to your nursing home patients? Yes, you can! Dispensing wound care products to your nursing home patients allows you Read More →
Get Ready! Additions to Pressure Ulcer Coding Coming Soon
Surgical dressings can be used for all types of qualifying ulcers. This includes arterial ulcers, venous ulcers, diabetic foot ulcers, and pressure ulcers. It is important to use the correct diagnosis codes for each Read More →
Dispensing Primary and Secondary Dressings With Different Change Frequencies
When dispensing surgical dressings, it is important to differentiate between primary and secondary dressings and to use them in conjunction when indicated. PRIMARY DRESSINGS: Primary dressings are therapeutic or protective and can be applied directly Read More →
