Innovamatrix AC application, billed per square centimeter

Description

Innovamatrix AC is a specialized treatment applied to the skin, measured and billed based on the area covered in square centimeters. This coding reflects the cost associated with the application of the product, ensuring accurate billing for healthcare services rendered.

Medicare Hospital Outpatient Reimbursement (OPPS)

OPPS Payment Rate

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Patient Copayment / Coinsurance

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Medicare Ambulatory Surgical Center Reimbursement (ASC)

ASC Payment Rate

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Patient Copayment / Coinsurance

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Standard copayment (20%):—

Top Modifiers

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HCPCS/CPT JZZero drug amount discarded or not administered(24.35%)

HCPCS/CPT JWDrug or biological discarded and not administered(9.93%)

HCPCS/CPT LTModifier for procedures performed on the left side of the body(7.57%)

HCPCS/CPT RTRight side procedure modifier(5.91%)

HCPCS/CPT GWService unrelated to hospice patient's terminal condition(4.02%)

HCPCS/CPT 59Distinct procedural service for non-E/M services(3.55%)

HCPCS/CPT 76Repeat procedure or service by same physician or qualified healthcare professional(2.13%)

HCPCS/CPT KXDocumentation requirements met for DMEPOS items(1.42%)

HCPCS/CPT JCSkin substitute graft application(1.42%)

HCPCS/CPT A1Primary or secondary dressing for one wound(1.18%)

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)
HCPCS Quarterly Update, 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)