tci ED Coding & Reimbursement Alert - 2000 Issue 10

Reader Question: Wound-care Supplies

Question: The nurses in our department are giving out wound care supplies to take home and use (one pack of 200 gauze sponges, 100 cotton-tipped applicators, one can solosite spray, and sterile saline solution). How do I code this? Is there a HCPCS code for wound-care supplies? Could I use A4649 (miscellaneous surgery supplies)?Elissa FaustinaCorvallis, Ore.Answer: When a physician, nurse practitioner, etc., applies dressings as part of a professional service that is billed to Medicare, the dressings always are considered incident to the professional service and are not separately payable. But when surgical dressings are obtained by...

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