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
New Guidance Released Regarding Replacing Lymphedema Compression Garments
Medicare provides coverage for three EXTREMIT-EASE compression garments per body area once every six months when the garment is being used to treat lymphedema. There are potential exceptions to this six month timeline. Medicare Read More →
Top 10 Reasons for Surgical Dressing Claim Denial in 2024
Introduction Participation in the surgical dressing program with AmerX products offers tremendous advantages to both patients and providers. Patients receive high quality, efficacious products that help in the care of their wounds. Providers enjoy Read More →
Perfecting Compliance With Your Surgical Dressing Program
Table of Contents 1. Advantages 2. Compliance 3. Umbrella Requirements 4. Medical Necessity 5. Primary and Secondary Surgical Dressings 6. “Exudate” Versus “Drainage” 7. Product Requirements 8. More Documentation Requirements 9. Updated Information 10. Read More →
Lymphedema Treatment That Actually Works
Table of Contents 1. Lymphedema 2. Complications of Lymphedema 3. Lymphedema Versus Chronic Venous Insufficiency 4. Lymphedema Treatment 5. Lymphedema Coverage 6. Lymphedema Coverage Versus Chronic Venous Insufficiency Coverage 7. Coding 8. Lymphedema Diagnosis Read More →
How Many EXTREMIT-EASE’s Can We Dispense?
EXTREMIT-EASE The EXTREMIT-EASE compression garment provides 30-50 mmHg of therapeutic compression and has an innovative design that employs zippers and bungees with large tabs. This unique design results in a garment that improves compliance Read More →
