gcmc11528
New
We are getting a Medicare denial for CPT 15275 stating we need a qualifying service. Would this be the wound prep 15004? I'm not sure what exacty they are looking for, does anyone know what this the qualifying service would be?
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Wiki Need a qualifying service to bill 15275
- Thread starter gcmc11528
- Start date
Not a podiatry coder, but in the CPT book 15725 has a list of "code also" notes - could one of these codes be what's needed, perhaps?
Morgangrace
New
Correct, you need to bill for the wound care product or procedure. We use the 15275 as the application when we bill for Q codes, you need to indicate what was applied or done. 15004 is surgical prep with a wound vac, so if that is what you did then yes it also has to be billed.
gabyj1
New
I agree with Morgan, you would need the Q code. Think of this like an injection where the Q code is the J code for Kenalog for example and the 15275 being the administration code 96372.