skin substitute

  1. M

    Wiki How to bill Epifix and any other skin susbtitutes + app fee

    I have a feeling that we are missing information when we are billing skin substitutes to Medicare. I have a patient who we either gets denials for the product itself or for the application fee. Denial states that the reason this is being denied is because it does not qualify per LCD guidelines...
  2. M

    Wiki Are we able to append modifier 59 if skin substitute and application is billed with E/M

    I work for a wound care clinic that often bills skins substitutes on the same date as an evaluation or other E/M codes. So I would like to know the proper way to bill this. Should we bill 992**-modifier 25, Q41**- modifier 59 and application 152**- modifier 59. Is this the correct way to bill this?
  3. M

    Wiki Application of free (pro bono) skin substitutes for Medicare.

    I work for a wound care clinic that applies free samples given to us by pharmaceutical rep to patients. I wanted to know if there's a way to receive reimbursement from Medicare for the application only. If so, how would I bill this? I attended a seminar that stated that modifier "FB" was...
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