Handheld imaging for bacterial assessment in wounds

Description

This procedure involves the use of a handheld imaging device that scans a wound without direct contact. The device displays real-time images indicating the presence, quantity, and localization of bacteria, aiding in clinical decision-making for wound management.

Medicare Hospital Outpatient Reimbursement (OPPS)

OPPS Payment Rate

$311.40

Calculation:

x=$311.40

Patient Copayment / Coinsurance

$62.28

Calculation breakdown:

Minimum (20% of rate)$62.28

Medicare Ambulatory Surgical Center Reimbursement (ASC)

ASC Payment Rate

$166.21

Calculation:

x=$166.21

Patient Copayment / Coinsurance

$33.24

Standard copayment (20%):$33.24

Top Modifiers

Graph View

List View

HCPCS/CPT GWService unrelated to hospice patient's terminal condition(16.43%)

HCPCS/CPT 59Distinct procedural service for non-E/M services(11.76%)

HCPCS/CPT LTModifier for procedures performed on the left side of the body(5.88%)

HCPCS/CPT GVAttending physician not employed by hospice provider(5.68%)

HCPCS/CPT GYItem or service excluded from Medicare benefits(5.27%)

HCPCS/CPT RTRight side procedure modifier(4.87%)

HCPCS/CPT XUUnusual non-overlapping service(2.23%)

HCPCS/CPT 79Unrelated procedure by the same physician during the postoperative period(2.03%)

HCPCS/CPT XSSeparate structure service on distinct organ or structure(1.62%)

HCPCS/CPT 76Repeat procedure or service by same physician or qualified healthcare professional(1.01%)

Code Crosswalks

No crosswalks found.

Alternate Codes

No alternates found.

Billed With Codes

No codes found here.

Sources

We make no claims to ownership of the coding systems referenced on this platform. Codes and descriptions are produced from claims and chargemaster data available through the CMS-9915-F Transparency in Coverage Final Rule and via state or federal datasets. This service is provided solely as a reference to encourage use of these codes in our chargemaster review and automated billing tools, so that healthcare professionals can understand and correctly report these codes in their claims.

Federal and State Datasets

List of CPT/HCPCS Codes, Centers for Medicare & Medicaid Services (CMS)
I/OCE Quarterly Release Files, Centers for Medicare & Medicaid Services (CMS)
Physician Fee Schedule Relative Value Files, Centers for Medicare & Medicaid Services (CMS)
OPPS Addendum B, Centers for Medicare & Medicaid Services (CMS)
ASC Payment Addenda, Centers for Medicare & Medicaid Services (CMS)