Home » New wound care HCPCS codes added to Home Health billing

New wound care HCPCS codes added to Home Health billing

The Centers for Medicare & Medicaid Services (CMS) updated home health (HH) consolidated billing effective July 1, 2013, adding two healthcare common procedure coding system (HCPCS) codes for negative pressure wound therapy services provided to Medicare beneficiaries.

Effective for claims with dates of service on or after July 1, 2013, CMS will add the following HCPCS codes to the HH consolidated billing therapy code list:

G0456 Negative pressure wound therapy, (e.g., vacuum assisted drainage collection) using a mechanically-powered device, not durable medical equipment, including provision of cartridge and dressing(s), topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters

G0457 Negative pressure wound therapy, (e.g., vacuum assisted drainage collection) using a mechanically-powered device, not durable medical equipment, including provision of cartridge and dressing(s), topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area greater than 50 sq cm

Reference: http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8246.pdf

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