Health Information Management

Pay-per-view: Note changes for skin substitutes, mental health codes

APCs Insider, June 29, 2012

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Facilities can’t bill for skin substitutes unless they also bill for a skin substitute application procedure on the same date, according to the April update to the I/OCE. If facilities don’t comply with this practice, they won’t receive payment for the skin substitute. The April update includes a list of eight procedure codes (CPT codes 15271-15278) and 27 specific skin graft materials.

"You can’t just bill the material by itself and expect to get paid for it," says Dave Fee, MBA, product ­marketing manager of outpatient products at 3M Health Information Systems in Murray, Utah. "You have to be very clear about what you did."
Continue reading “Note changes for skin substitutes, mental health codes”on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the June issue.

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