July 1: New K Codes for Suction Pumps, Wound Dressings
The Centers for Medicare & Medicaid Services (CMS) has introduced four new HCPCS Level II K codes for use by providers and suppliers who bill Parts A and B Medicare administrative contractors (A/B MACs) or durable medical equipment contractors (DME MACs) for suction pumps and accompanying surgical dressings to Medicare beneficiaries:
K0743 Suction pump, home model, portable, for use on wounds
K0744 Absorptive wound dressing for use with suction pump, home model, portable, pad size 16 square inches or less
K0745 Absorptive wound dressing for use with suction pump, home model; portable, pad size more than 16 square inches but less than or equal to 48 square inches
K0746 Absorptive wound dressing for use with suction pump, home model, portable, pad size greater than 48 inches
Suction pumps and wound dressings of these types are used during negative wound pressure therapy.
All codes are effective July 1; however, they have been assigned a “C” coverage status (Carriers will establish relative value units (RVUs) and payment amounts for these services, generally on an individual case basis following review of documentation, such as an operative report). As such, Medicare payment is not guaranteed. Only RVUs associated with status codes of “A,” “R,” or “T” are used for Medicare payment.
For additional information, see MLN Matters® article MM7411 and related Change Request (CR) 7411.