Reimbursement & Coding Information

HCPCS Coding Guidance

HCPCS Coding Guidance – The link provided below contains 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.  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.


The Latest in Reimbursement & Coding Information from the Blog

Dr. Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC

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 have different indications for the same wound. One example of something that should not be done is to use a dressing […]

Updates To LCD Regarding Collagen Dressings

Noridian Issues a Clarification Notice About Updated Collagen Dressings Coverage Prior to the latest LCD changes, DME providers who dispensed collagen for patients at-home use, could only receive coverage for full-thickness wounds. Since the middle of 2017, however, the guidelines for coverage have been amended. Full-thickness wounds Wounds with light to moderate exudate Wounds that […]

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