Wound Type/ Tissue Injury Level Wound types are consistent with ICD-10 coding rules. Although the face-to-face documentation must indicate the presence of wounds, including pressure ulcers, clinicians are permitted to stage wounds based on current WOCN guidelines. Skin tears are identified by a c...
Accurate Coding: Trained coders apply proper CPT, HCPCS, and ICD codes to wound care services provided by doctors. Accurate coding reflects the complexity and specificity of the treatments done,optimizing reimbursementwhile reducing the likelihood of audits and denials. Compliance with Medical Necessity ...
Applicable CPT / HCPCS / ICD-10 Codes Background References Policy Scope of Policy This Clinical Policy Bulletin addresses negative pressure wound therapy. Medical Necessity Aetna considers negative pressure wound therapy (NPWT) pumps medically necessary, when either of the following criteria (A or B...
Aetna’s standard HMO plans cover surgical dressings when they are medically necessary for wound debridement or for the treatment of a wound caused by, or treated by, a surgical procedure. Please check benefit plan descriptions. Covered surgical dressings include both medically necessary primary dressi...
When Validate is selected, the system will run a check to ensure a response for all the documentation prompts have been entered. Once the validations clear, the user will return to the Document home page.On the Document page, the user can select Complete or go back....
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