How do you bill compression stockings?
How do you bill compression stockings?
The CPT Code for compression stockings are CPT A6531, CPT A6532, and CPT A6545 are noncovered for the following conditions:
- Venous insufficiency without stasis,
- Ulcers, prevention of stasis ulcers,
- Prevention of the reoccurrence of stasis ulcers that have healed,
- Treatment of lymphedema in the absence of ulcers.
What is a Dmerc?
DMERC means any Durable Medical Equipment Regional Carrier to which the Seller may submit claims for reimbursement for durable medical equipment and any successor thereto, whether referred to as a DMERC or DME-MAC (Durable Medical Equipment Medicare Administrative Contractor).
What is the CPT code for compression stockings?
The HCPCS codes range Compression Garments and Stockings A6501-A6550 is a standardized code set necessary for Medicare and other health insurance providers to provide healthcare claims.
What is the CPT code for Compression Garments?
Compression Garments and Stockings HCPCS Code range A6501-A6550.
What is a Medicare DME claim?
covers. medically necessary. Health care services or supplies needed to diagnose or treat an illness, injury, condition, disease, or its symptoms and that meet accepted standards of medicine. DME if your doctor prescribes it for use in your home.
What insurance is Dmerc?
Prior to the DME MAC label, they were also called Medicare A/B contractors. The primary role of the Durable Medical Equipment Medicare Administrative Contractors is for health care claims processing, and payment or reimbursement for Original Medicare and Medicare Advantage Plans.
What is modifier RR?
RR — RENTAL. ( USE THIS ‘R’ MODIFIER WHEN DME IS TO BE RENTED) This modifier is used for DME items that are rented, and will be used for equipment in the following categories: Inexpensive or other Routinely purchased DME (IRP) Frequent or Substantial Servicing (FS)
How does DME reimbursement work?
Once the rental has reached the allowed amount for purchase, covered supplies and maintenance related to an item will be reimbursed according to the provider’s contract. Equipment that is purchased without prior rental will be owned by the patient.
How do I bill A6545?
A6545 Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, carries an average reimbursement rate of $95.00 each. When using to treat an open ulcer, it should be billed with an AW modifier indicating it is furnished with a surgical dressing.
