Health Information Management

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

APCs Insider, June 29, 2012

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

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.



Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

    Briefings on APCs
  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular