Powered air mattress for pressure ulcer prevention and treatment

Description

This device is designed to reduce pressure on the skin and underlying tissues, helping to prevent and treat pressure ulcers. It utilizes powered air technology to adjust mattress firmness and distribute weight evenly, promoting patient comfort and safety during care.

Medicare Hospital Outpatient Reimbursement (OPPS)

OPPS Payment Rate

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Patient Copayment / Coinsurance

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Top Modifiers

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HCPCS/CPT RRRental of durable medical equipment(90.54%)

HCPCS/CPT KHDMEPOS item, initial claim, purchase or first month rental(27.2%)

HCPCS/CPT KIDMEPOS item rental for second or third month(25.65%)

HCPCS/CPT KJDMEPOS item for parenteral enteral nutrition pump rental, months 4-15(25.13%)

HCPCS/CPT KXDocumentation requirements met for DMEPOS items(9.72%)

HCPCS/CPT NUPurchase of new durable medical equipment(7.9%)

HCPCS/CPT GZItem or service expected to be denied as not reasonable and necessary(2.33%)

HCPCS/CPT GAWaiver of liability statement issued per payer policy(1.81%)

HCPCS/CPT GYItem or service excluded from Medicare benefits(1.55%)

HCPCS/CPT MSMaintenance and service fee for durable medical equipment(1.42%)

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)