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Understanding the New Skin Substitute Codes

Presenter Nancy L Reading, CPC, CPC-P, CPC-I
Broadcast Date 8/12/2026 Add this to your calendar!
Time 10:00am PT / 11:00am MT / 12:00pm CT / 1:00pm ET
Presentation Length 60 minutes
Price $65 (Non-members $85)
Understanding the New Skin Substitute Codes Webinar

Learn more about this event

The Centers for Medicare and Medicaid services made significant changes to the way skin substitutes are coded and reimbursed in 2026. The regulatory changes and oversight for these services continues to evolve and present new hurdles to providers and facilities. This webinar will tackle the changes to codes, regulations and oversight for these services.

The Webinar will look at documentation requirements, and strategic planning for charge capture, prior approval where needed and local coverage decisions as they evolve. These changes are designed to save the federal government millions stemming from prior fraud waste and abuse of these services. The fiscal impacts to practices and facilities will be significant as a result. We will look at tracking costs to the practice, charge description master updates and denials management.

Learning Objectives/Agenda

• HCPC Code Changes for skin substitutes
• Regulations governing discarding unused portions of packaged skin substitutes and application of the JZ/JW modifier
• Relationship of FDA approval and Codes for cellular tissue–based products (CTPs)
• Impact of the Wasteful and Inappropriate Service Reduction (WISeR) Model
• Prepayment medical review versus LCDs

Why is this topic important?

These changes are new, continue to evolve and have a significant impact to reimbursement.

Who would benefit from this topic?

• Professional fee coders
• ASC Coders
• Home Health Coders
• Hospital Outpatient Coders
• CDM Managers
• Billers and Payment Posters

Nancy L Reading, CPC, CPC-P, CPC-I

About The Author

Nancy L Reading, CPC, CPC-P, CPC-I

Nancy L Reading, BS, CPC, CPC-P, CPC-I
Ms. Reading has worked 47 years in Healthcare as a Registered Nurse and 37 of those as a Coder. She has worked in the Professional, Hospital Outpatient and Hospital Inpatient settings. Her career includes having her own consulting business, working for large University Medical Centers, Utah Medicaid, and as a Medicare specialist for the country’s largest private third party payer. She has worked as a DRG analyst, educator and auditor for several large national corporations. She spent time as a CDI auditor working for a RAC.  She also has audited and repriced accident/injury claims for legal defense attorneys across multiple states.  She is a 2 time past Local Chapter president, national advisory board member and previously worked for AAPC as VP of Education writing 12 specialty exams and study guides, several CPC exams/study guides and  an early version of the PMCC curriculum. Nancy is currently an independent consultant.

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