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
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
Compliant Diagnosis Coding in Wound Care
ICD-10-CM The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) is a standardized system used to represent diseases and medical conditions[1]. Healthcare providers typically use ICD-10-CM codes on claim forms to represent the Read More →
I Know I Should Wear My Compression Garment. So Why Can’t I Get The Thing On?
Estimated Read Time: 4 minutes, 37 seconds Why is it so hard to put on a compression garment? Because most compression garments were designed for therapy — not for the real human beings who Read More →
Care of Chronic Lower Extremity Ulcers: Clinical Evidence and Management
Estimated Read Time: 7 minutes Key Takeaways (Quick Summary): • High Failure Rates: 49% of all diabetic foot ulcers fail to heal with traditional care, and 50% of venous leg ulcers have been present Read More →
The Lymphedema Revolution: How Advocacy and Modern Compression Garments Ended a Legacy of Medical Neglect
How Has the Perception of Lymphedema Evolved in Recent Years? The view of lymphedema has shifted from a neglected, "aesthetic" lifestyle issue to a recognized public health priority, driven by the dismantling of historical Read More →
DME Enrollment Moratorium-Just Do It Yourself!
Practitioners who participate in the surgical dressing program can dispense high-quality wound care products directly to their patients and submit for profitable reimbursement of these products. Examples of surgical dressings include collagen, calcium alginate, Read More →
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