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Thread: A6212

  1. #1

    Cool A6212

    AAPC: Back to School
    I hope someone can help? The doctor performs 28270 and 28222. They give the patient bandages to take home with them to "doctor" the wound. It would be A6212-A6, as they gave the patient 6 bandages.

    Can you bill for that?


    I found the answer i was looking for. thanks
    Last edited by codelady; 07-27-2009 at 02:31 PM.

  2. #2
    Join Date
    Apr 2007
    Wichita, KS


    Only if the "bandages" are a foam dressing with adhesive border such as Polymem not just a regular band-aid. Most commercial payers will consider the bandages content of service. For Medicare patients you will have to have a DME contract, ID#, follow their guidelines and have a DME receipt signed by the patient in their file. According to Medicare guidelines you are allowed to dispense 12 bandages per wound per month. The A1-A9 modifiers are for the total number of wounds the patient has. If the patient has 9 or more wounds that need a surgical dressing then you use the A9 modifier and then in box 19 you enter the total number of wounds. For a great handout that goes over Medicare coverage requirements and documentation go to www.noridianmedicare.com click on Durable Medical Equipment click on Presentations under Training/Events. Click on view all under Presentations. Finally click on Surgical Dressings.
    Tammy Hulsey-Ferguson, CPC
    Past President AAPC Wichita, KS Local Chapter

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