How To Use HCPCS Code C9349

HCPCS code C9349 describes the use of Puraply and Puraply Antimicrobial, any type, per square centimeter. This code is used to identify the specific type of enteral support that is provided to patients. In this article, we will explore the details of HCPCS code C9349, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and provide examples of when this code should be billed.

1. What is HCPCS C9349?

HCPCS code C9349 is used to identify the use of Puraply and Puraply Antimicrobial, any type, per square centimeter. This code is specific to enteral support and is used to indicate the application of these materials in the treatment of patients. It is important to note that this code is no longer active as of December 31, 2016.

2. Official Description

The official description of HCPCS code C9349 is “Puraply, and puraply antimicrobial, any type, per square centimeter.” The short description for this code is “Enteral supp not otherwise c.” This description accurately reflects the purpose and usage of this code.

3. Procedure

1. Prepare the area where the Puraply or Puraply Antimicrobial will be applied.
2. Cleanse the area thoroughly to ensure proper adherence of the material.
3. Measure the required amount of Puraply or Puraply Antimicrobial per square centimeter.
4. Apply the material to the designated area, ensuring full coverage.
5. Secure the material in place using appropriate dressings or bandages.
6. Monitor the patient’s progress and make any necessary adjustments to the treatment plan.

4. When to use HCPCS code C9349

HCPCS code C9349 should be used when Puraply or Puraply Antimicrobial is applied as part of enteral support. This code is used to indicate the specific type of material used and the area of application. It is important to note that this code is no longer active as of December 31, 2016, and should not be used for billing purposes after that date.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C9349, healthcare providers should ensure that the documentation clearly indicates the use of Puraply or Puraply Antimicrobial, the specific type used, and the area of application. It is important to provide detailed information to support the medical necessity of this treatment. Additionally, providers should follow the billing guidelines set forth by the relevant insurance carriers to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C9349 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. This code has a pricing indicator code of 57, which indicates that it is priced by other carriers. The multiple pricing indicator code for this code is A, indicating that it is not applicable as HCPCS priced under one methodology. There have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code.

7. Medicare and Insurance Coverage

Medicare and insurance coverage for HCPCS code C9349 may vary. Providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for specific guidance on coverage and reimbursement. It is important to verify coverage with the relevant insurance carriers to ensure proper billing and reimbursement for this service.

8. Examples

Here are five examples of when HCPCS code C9349 should be billed:

1. A patient with a chronic wound requiring the application of Puraply Antimicrobial for wound healing.
2. A burn patient in need of Puraply to promote skin regeneration and prevent infection.
3. A patient undergoing reconstructive surgery who requires the use of Puraply for tissue repair.
4. A diabetic patient with a non-healing ulcer that necessitates the application of Puraply for wound management.
5. A patient with a pressure ulcer requiring the use of Puraply Antimicrobial to promote healing and prevent further complications.