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
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, Read More →
Is Your Diagnosis Code Appropriate for the Dispensed Dressing?
Some surgical dressings only have coverage for full-thickness ulcers. These include alginates, foams, and hydrogels. When dispensing a dressing that is only covered for full-thickness ulcers, it is important to not only document the Read More →
Wound vs. Ulcer- Does It Matter?
While some physicians may interchange the terms "ulcer" and "wound" as if they are synonyms, when it comes it ICD-10, your choice of words DOES matter! What is the difference between a Wound and Read More →
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 Read More →
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 Read More →
