Providers should select the application of disposable NPWT codes based upon the size of the wound(s) covered under one fluid management component. When should providers use the application of disposable NPWT codes described as "less than 50 sq. “Per session” typically means the wound care professional or facility can only bill for that procedure once per encounter. What do billing units such as "per session" mean? If the physician performs other procedures to the same wound on the same day that he/she applies a disposable NPWT, can the physician code and bill for all of the procedures? The payer’s medical policies which are either found on their public website or on a “provider only” website which may require the physician’s provider number in order to gain access.Their contract with the payer may describe how they pay for multiple procedures performed during the same encounter.General questions Coding If the physician debrides the wound on the same day he/she applies a disposable NPWT device, should he/she code and bill a debridement code and the NPWT application procedure code?įor patients who are insured by Medicare fee-for-service, the physician should review 2 Medicare guidelines to answer this question:Īll LCDs, if they exist, can be found either on the specific Medicare Administrative Contractor’s (MAC’s) website or on the Medicare Coverage Database that contains the entire collection of MACs’ LCDs.įor patients who are insured by Medicare Advantage, private payers, Medicaid, Tri-Care, Workers Compensation etc., the physicians should review 2 documents to answer this question:
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