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
Venous Leg Ulcer Diagnosis Coding
Venous Leg Ulcer Formation Venous leg ulcers develop as a result of abnormal vein function. When venous blood is not returned to the heart as it should be, it can accumulate in leg veins Read More →
Billing Wound Care Supplies and Debridement
Billing wound care supplies and debridement together can be tricky. It is essential that medical practices follow the following guidelines: 1. Billing Wound Care Supplies and Debridement to Medicare. A6010, or Collagen Powder, Read More →
Wound Dehiscence and Surgical Dressings
Can Surgical Dressings Be Used For Wound Dehiscence? Yes, you can use surgical dressings for wound dehiscence. For Medicare beneficiaries, there is no time limit assigned to the duration with which a wound must Read More →
Can We Code For An Unna Boot and Ulcer Debridement at the Same Encounter?
No. The reference for this is in the National Correct Coding Initiative (NCCI).1,2 The Guidance Chapter IV, Section G.2 of the NCCI Policy Manual states: "Casting/splinting/strapping CPT Codes shall not be reported for Read More →
Considerations in Dispensing Compression Therapy with EXTREMIT-EASE
Providers can dispense the EXTREMIT-EASE® Compression Garment directly to patients. Patients enjoy being given the product they need, rather than trying to fill a prescription. Furthermore, EXTREMIT-EASE is much easier for patients to apply Read More →
