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LAST UPDATED: 24 Oct, 2022
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The facility cannot separately bill for the compression wraps because the provider debrided the wound. However, the coder should report the HCPCS codes for the supply of the compression wraps to the patient’s bill . The final code selection would be: 99213-25; 11042; 11045 x1; Compression wrap supply HCPCS code x 2; Wound Debridement Vs.
https://www.e2emedicalbilling.com/blog/11045-cpt-code-know-your-codes/gradient compression wrap , non-elastic, below knee, 30-50 mm hg, each Contains all text of procedure or modifier long descriptions. As of 2013, this field contains the consumer friendly descriptions for the AMA CPT codes.
https://www.hipaaspace.com/Medical_Billing/Coding/Healthcare.Common.Procedure.Coding.System/A6545For the 2 layer, they have not been billing because we have a reference that states a multi-layer compression wrap is 3 or more layers. We have recently started a new clinic and the staff there state that we can bill for the Coban 2 layer wrap (CPT 29581). When we contact the company that supplies the product, they have stated that we use the
https://www.aapc.com/discuss/threads/compression-wraps.89508/A6545 is a valid 2019 HCPCS code for Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each or just “Grad comp non-elastic bk” for short, used in Lump sum purchase of DME, prosthetics, orthotics.
Summary of Billing Instructions from the Article for Surgical Dressings Policy Article - January 2010 When the compression wrap code A6545 is used for an open venous stasis ulcer, the code must be billed with the AW modifier (but not an A1-A9 modifier). The RT (right) and/or LT (left) modifiers must be used with code A6545.
HCPCS codes for Compression stockings A6531/ A6532, and Compression wrap A6545 are reimbursable codes, but only under specific conditions. Under Medicare guidelines A6545 falls under the category of surgical dressings, and is covered when used in the treatment of open venous stasis ulcer.
Compression Wraps provide inelastic compression and have Velcro bands that allow them to be adjusted as limb swelling decreases. Have higher working and lower resting compression levels with low-stretch materials.
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