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
Top 5 Reasons for Surgical Dressings Denial – Avoid Them!
One DMEMAC (CGS) recently released its quarterly report containing the top reasons for denials of surgical dressing claims1. Here, the top 5 reasons in that list are shared along with guidance regarding how to Read More →
Increases to 2023 DME Fee Schedule!
The 2023 CMS DME Fee Schedule can be found here: https://www.cms.gov/medicaremedicare-fee-service-paymentdmeposfeescheddmepos-fee-schedule/dme23 This fee schedule is typically updated quarterly. Updates usually result in links for four different fee schedules for each previous calendar year and Read More →
Dispensing Surgical Dressings Prior to Surgery
If a surgical dressing will be needed following a surgery, may we dispense the dressing prior to the surgery and submit a claim for payment to a third-party payer the day it is dispensed? The Read More →
Wound Care Kit Documentation
AMERX Wound Care Kits Dispensing AMERX Wound Care Kits allows providers to dispense both a primary dressing and a secondary dressing at the same time. This is excellent care because this allows the patient Read More →
Skin Substitute Services Under Attack
There are two current proposals that pose a significant threat to skin substitute services. It is important that providers who treat chronic wounds have advanced treatment options available to provide to their patients. Novitas Read More →
