Health Information Management

Q&A: October updates for skin substitutes

APCs Insider, September 18, 2015

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Q: Did CMS make any changes to skin substitutes for October?
A: CMS has made reassigned AmnioBand™ to the high-cost skin substitute category beginning October 1, as updated pricing information has become available. AmnioBand is reported with HCPCS code Q4151 (AmnioBand or Guardian, per square centimeter). This means that beginning on October 1, the procedure is reported with the appropriate CPT code in the 15271-15278 range.
Editor’s note: Denise Williams, RN, CPC-H, seniorvice president of revenue integrity services at Revant Solutions, in Fort Lauderdale, Florida, answered this question.

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