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Understanding Debridement and Surgical Dressing Coverage

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According to the DMEMAC Local Coverage Article (LCA), Surgical Dressings – Policy Article (A54563), surgical dressings are covered when a “qualifying” wound is present.  We must understand which wounds qualify.  While there are different requirements for different dressing types, all wounds must meet certain criteria before the dressing type can even be considered.  The LCA […]

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

Separately Identifiable E/M Demystified

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Does dispensing surgical dressings at the same encounter as an ulcer debridement count as an evaluation and management (E/M)? Short answer: Probably not. Longer answer: It depends. It depends on what was performed, documented, and medically necessary.  You can submit an E/M at the same time as a debridement (or any procedure) if—and only if—an […]