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Micronization may also be considered more than minimally manipulated by the FDA. This section currently focuses primarily on Medicare. It may be expanded in the future to include information on private insurers as well. Medicare hospital outpatient prospective payment system OPPS cost category assignment:. CY high cost.

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More details on requirements, medical necessity and documentation in specific Medicare Local Coverage Determinations if available. Sorry, this content is only available to paid members. Please upgrade or sign in for full access. Sorry, this content is only available to subscribing Pro members with HBO option. Please upgrade for full access to HBO topics. Sorry, this content is only available to registered members. Please register for FREE account to gain access. To access this feature you must be a paid subscriber.

Upgrade to paid plan for access to this feature and more! WoundReference is a clinical decision support platform for experienced and new wound care clinicians at the point-of-care.

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WoundReference improves clinical decisions. Wound Care expertise at your fingertips. Start for Free. In Eds. For full access to premium content, subscribe to a premium plan. Or get started with a Free Basic account limited content and tools. Technology and Product Assessment.


Product Type: Allogeneic matrix. Unbiased information for educational purposes only. WoundReference does not produce, market, advertise, re-sell or distribute healthcare goods or services consumed by, or used on patients. For information about specific products, please contact the manufacturer directly.


Minimally manipulated, dehydrated, non-viable cellular amniotic membrane allograft that contains multiple extracellular matrix proteins, growth factors, cytokines and other specialty proteins present in amniotic tissue to provide a barrier membrane that enhances healing.

HCPC Q Manufacturer: MiMedx Group, Inc. The product information contained on this page, including the product images and additional product materials, was collected from various supplier sources. All product claims and specifications are those of the product suppliers. Every effort has been made to ensure the accuracy of the product information, however on occasion manufacturers may alter their products or packaging without notice. Wound Reference assumes no liability for inaccuracies or misstatements about products.

The properties of a product may change or be inaccurate following the posting or printing of the product information in the document, either in the print or online version.All attempts are made to provide the most current information on the Pre-Auth Needed Tool. However, this does NOT guarantee payment. Payment of claims is dependent on eligibility, covered benefits, provider contracts, correct coding and billing practices.

For specific details, please refer to the provider manual. If you are uncertain that prior authorization is needed, please submit a request for an accurate response. Otherwise, authorization is not required. Please check the code using our tool below to verify if authorization is required. Exclusions and limitations to these benefits can also be found on the Washington State Health Care Authority site. For non-participating providers, Join Our Network.

Note for Non-Urgent Preservice Decisions the plan has days to make a determination. For Urgent Preservice Decisions the plan has 2 calendar days to make a determination.

For Standard Psychiatric Inpatient Services the plan has 12 hours of the receipt of the request to make a determination. For Urgent Concurrent and Post Stabilization Decisions the plan has 1 calendar day to make a determination. Medicaid Pre-Auth. This tool requires the use of Internet Explorer 10 or Later.

If you are currently using Internet Explorer as your browser and you see this message, you should try to update it or use another browser like Google Chrome or Firefox. Are services being performed in the emergency department or urgent care center or are these family planning services billed with a contraceptive management diagnosis?

Services being performed in the emergency department or urgent care center or Family Planning service billed with a contraceptive management diagnosis do NOT require prior authorization.

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Yes No. Behavioral Health services shall be offered at the location preferred by the Medicaid-enrolled individual, as long as it is clinically necessary, and provided by or under the supervision of a Mental Health Professional serviceQuestion-1 serviceQuestion-1 Is anesthesia being rendered for pain management or dental surgery?

This service requires prior authorization. Login Here to submit an authorization. Enter the code of the service you would like to check: Auth Code Check.

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To submit a prior authorization Login Here. Are professional services being rendered in the home? Behavioral Health services shall be offered at the location preferred by the Medicaid-enrolled individual, as long as it is clinically necessary, and provided by or under the supervision of a Mental Health Professional.Please inspect the integrity of the package upon receipt.

If package and contents appear defective or damaged in any way, immediately contact the distributor. This allograft is intended for single-patient use only. Discard all unused material. The procedure should be performed by an authorized medical professional.

EpiFix® Human Amnion/ Chorion Membrane Allograft

Strict donor screening and laboratory testing, along with dedicated processing and sterilization methods, are employed to reduce the risk of any disease transmission. However, as with all biological implants, an absolute guarantee of tissue safety is not possible. This allograft has the potential to transmit infectious disease to the recipient.

The reaction of the body to any biological implant is not completely understood.

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Caution should be used when treating patients with a known sensitivity to aminoglycoside antibiotics. Discard all damaged, mishandled or potentially contaminated tissue.


This product has not been tested in combination with other products. Do not re-sterilize. As with any procedure, the possibility of infection exists. Proprietary processing and validated sterilization methods are employed to eliminate potential deleterious components of the allograft. However, as with all biological implants, the possibility of rejection exists.

Check the label for the expiration date. Wound Bed Preparation Ensure the wound is free from clinical sign of infection. Prepare wound bed as needed. Carefully open the peelable corner of the outer pouch and extract the inner pouch using aseptic technique. Ensure the inner pouch does not come in contact with any portions of non-sterile surface of the outer pouch. Use appropriate moisture management dressings for the wound type and treatment ideology.

MiMedx Group, Inc. Important Notice: The contents of the website such as text, graphics, images, and other materials contained on the website "Content" are for informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. The content is not intended to substitute manufacturer instructions.

Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or product usage. Refer to the Legal Notice for express terms of use.

Skip to main content. Click to visit product manufacturer's website. Product Video.Book and appointment. Top Vein Specialists. This LCD does not address human skin autografts, cadaveric human skin allografts, or dermal xenografts porcine. Indications Applied to partial- or full-thickness ulcers of the lower extremities see individual product information for labeled indications as adjunctive therapy only after failing treatment with standard wound therapy.

Failure to respond to standard wound therapy occurs when there are no documented measurable signs of healing for at least 30 consecutive days. Initiation of retreatment of healed ulcers that have recurred is not indicated. The following indications and limitations to Medicare coverage and payment apply to the specified BSS and their related skin substitute application physician services.

Additionally, diabetic ulcers of the ankle and calf are covered. Frequency is limited to eight applications per ulcer. Revenue Codes: Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service.

Medicaid Pre-Auth

In most instances Revenue Codes are purely advisory. Unless specified in the policy, services reported under other Revenue Codes are equally subject to this coverage determination. Complete absence of all Revenue Codes indicates that coverage is not influenced by Revenue Code and the policy should be assumed to apply equally to all Revenue Codes. The service must be reasonable and necessary in the specific case and must meet the criteria specified in this LCD.

ICD codes must be coded to the highest level of specificity. Unknown December 16, at AM. Newer Post Older Post Home. Subscribe to: Post Comments Atom. Most read cpt modifiers Emergency CPT - CPT code, and - Inpatient hospital visits.Want to receive articles like this one in your inbox?

Subscribe to APCs Insider! But on page 89 of the same transmittal, it states that some have been added to either the high-cost or low-cost skin substitute lists. If the codes, such as Q, Q, and Q, do not make either list, does that mean CMS does not consider the product a skin substitute and the application codes would be inappropriate to report with those products?

Due to procedure-to-device edits, we are having trouble resolving these accounts. I have queried three different MACs asking for guidance but have yet to hear back from any of them. These codes are not to be reported for application of non-graft wound dressings e.

You should check with your non-Medicare payers, as they may have coverage information related to these items as well. Briefings on APCs helps you understand the new rules Guiding Health Information Management professionals through the continuously changing field of medical records and toward a Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations Health Information Management.

Forgot Password? Skin substitute grafts include non-autologous human skin dermal or epidermal, cellular and acellular grafts e. Based on the information provided, the application codes are not appropriate for reporting the injectable substances, and these are also a non-covered service. Related Products. All rights reserved.The codes are divided into two levels, or groups, as described Below: Level I Codes and descriptors copyrighted by the American Medical Association's current procedural terminology, fourth edition CPT These are 5 position numeric codes representing physician and nonphysician services.

Any other use violates the AMA copyright. These are 5 position alpha-numeric codes comprising the d series. These are 5 position alpha- numeric codes representing primarily items and nonphysician services that are not represented in the level I codes.

Short descriptive text of procedure or modifier code 28 characters or less. The AMA owns the copyright on the CPT codes and descriptions; CPT codes and descriptions are not public property and must always be used in compliance with copyright law. Contains all text of procedure or modifier long descriptions. Code used to identify instances where a procedure could be priced under multiple methodologies.

Multiple Pricing Indicator Code Description. Code used to identify the appropriate methodology for developing unique pricing amounts under part B.

A procedure may have one to four pricing codes. Description of Pricing Indicator Code 1. The date that a record was last updated or changed. Effective date of action to a procedure or modifier code.

Q4186 : HCPCS Code (2020)

Last date for which a procedure or modifier code may be used by Medicare providers. Action Code Description. The base unit represents the level of intensity for anesthesia procedure services that reflects all activities except time.

Note: the payment amount for anesthesia services is based on a calculation using base unit, time units, and the conversion factor. This field is valid beginning with data.

Number identifying the reference section of the coverage issues manual. Number identifying a section of the Medicare carriers manual. Number identifying statute reference for coverage or noncoverage of procedure or service. Code used to classify laboratory procedures according to the specialty certification categories listed by CMS. Any generally certified laboratory e.

An explicit reference crosswalking a deleted code or a code that is not valid for Medicare to a valid current code or range of codes.Long description: Epifix, per square centimeter.

Browse all modifiers. A modifier provides the means by which the reporting physician or provider can indicate that a service or procedure that has been performed has been altered by some specific circumstance but not changed in its definition or code. Modifiers may be used to indicate to the recipient of a report that: A service or procedure has both a professional and technical component.

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A service or procedure has been increased or reduced. Only part of a service was performed. An adjunctive service was performed. A bilateral procedure was performed. A service or procedure was provided more than once. Unusual events occurred. Code used to identify the appropriate methodology for developing unique pricing amounts under part B.

A procedure may have one to four pricing codes. The carrier assigned CMS type of service which describes the particular kind s of service represented by the procedure code. Home Q Codes Q Modifier Description. View All Modifiers Previous Next. Code used to identify instances where a procedure could be priced under multiple methodologies.

Effective date of action to a procedure or modifier code. Number identifying statute reference for coverage or noncoverage of procedure or service. Email address. Cancel Send. Long description: Epifix, per square centimeter Short description: Epifix 1 sq cm. October 1, - December 31,


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