AHA Coding Clinic® for HCPCS - 2012 Quarter 2; For Your Information
Skin Substitutes
HCPCS codes that describe skin substitute products must be reported with the appropriate CPT procedure code that describes the application of the skin substitute being utilized. These skin substitute HCPCS codes should only be reported with a skin substitute application procedure. Refer to the CMS website for the latest list of reportable skin substitutes since the list is updated periodically. Here is an updated listing of reportable skin substitutes HCPCS codes: HCPCS Code Code Descriptor C9358 SurgiMend, fetal C9360 SurgiMend, neonatal C9363 Integra Meshed Bil Wound Mat C9366 EpiFix wound cover C9367 Endoform Dermal Template Q4100 Skin substitute, NOS...
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Article Overview
This article covers reportable skin substitute products in HCPCS and explains that these product codes are tied to the corresponding application procedure codes. It is useful for coders and billers who need a current reference point for identifying listed skin substitute products and for checking the CMS-updated reportable list.
Why This Topic Matters
Skin substitute products and their reporting status can change over time, so a current reference helps coding professionals verify whether a product is on the reportable list and understand that product coding is linked to the relevant application procedure category.
What You Will Learn
- How skin substitute products are presented in HCPCS reporting guidance
- That the reportable product list is maintained and updated over time
- Which general HCPCS skin substitute products are included in the article
- How the article relates skin substitute products to application procedure coding
Who Should Read This
- Medical coders
- Billing staff
- Charge capture teams
- Revenue cycle professionals
- Wound care coding staff
Codes Discussed
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