Ulcers

“I have a patient with a nonhealing pressure wound on his right ankle and his right heel. I applied a skin graft substitute to both sites. I used a single piece and shared it between the two sites. The ICD-10 code I used for the ankle is L89.513. The ICD 10 code I used for the heel is L89.613. For the application codes I utilized CPT code 15271-RT for L89.513 and CPT code 15275-RT for L89.613. The NCCI Edits does not show any conflict, but I am wondering whether a -51 is necessary. I also used the correct Q code for the product.”

CMS launched Care Compare, a streamlined redesign of eight existing CMS health care compare tools available on Medicare.gov. Medicare has just announced that it will expand the requirements for prior authorization for ambulance transport for “Repetitive, Scheduled Non-Emergent Ambulance Transport.”