When reporting dressings for wounds, it is important to indicate if the dressing is the primary or secondary dressing as well the number of wounds the dressing will be used for.
Primary Dressing: May be therapeutic or protective coverings applied to wounds either on the skin or caused by an opening to the skin or lesions may be applied to lesions.
Secondary Dressing: Examples may be tape elastic bandages or a roll of gauze used to secure the primary dressing.
Modifiers A1-A9 indicate the number of wounds the dressing was applied to. These are informational only, but very important for proper reimbursement for wound care.
NOTE: It would not be appropriate to use A1-A9 modifiers for gradient compression stocking/wraps (HCPCS A6531, A6532 or A6545).
A1 Dressing for one wound A2 Dressing for two wounds A3 Dressing for three wounds A4 Dressing for four wounds A5 Dressing for five wounds A6 Dressing for six wounds A7 Dressing for seven wounds A8 Dressing for eight wounds A9 Dressing for nine wounds
AW Item furnished in conjunction with a surgical dressing
Example: Patient has three wounds but only two need a dressing; you would use modifier A2, indicating you are only dressing two wounds.
If you have questions or comments about this article please contact us. Comments that provide additional related information may be added here by our Editors.
There are three main code sets and Healthcare Common Procedure Coding System (HCPCS), is the third most common code set used. They are often called Level II codes and are used to report non-physician products supplies and procedures not found in CPT, such as ambulance services, DME, drugs, orthotics, supplies, ...
We billed 2 units of L3020 but were denied for not using the right modifiers. What should we do?
Rather than submitting two units of the L3020 to indicate that the patient one orthotic for each foot, you would need to use modifiers identifying left foot and right foot. Appropriate coding ...
Two separate pieces of legislation introduced in the House of Representatives (H.R. 2883 and H.R. 3654) have the potential to change some of Medicare’s policies regarding doctors of chiropractic. Find out what these two bills are all about and how they could affect Medicare policies.
The Department of Health and Human Services (HHS) founded its Office of Inspector General (OIG) in 1976 and tasked it with the responsibility to combat waste, fraud, and abuse within Medicare, Medicaid, and the other HHS programs. With approximately 1,600 employees, HHS OIG is the largest inspector general's office within ...
On July 29, 2019, CMS released their proposed rule for the Medicare Physician Fee Schedule for 2020. Last year’s final rule “finalized the assignment of a single payment rate for levels 2 through 4 office/outpatient E/M visits beginning in CY 2021.” It also changed some of the documentation requirements (e.g., ...
What if my Medicare patient refuses to fill out the outcome assessment questionnaire?
Inform the patient that Medicare requires that you demonstrate functional improvement in order for them to determine if the care is medically necessary. In other words, they may have to pay for the care out of pocket if ...
Who knew that when Jack & Jill when up the hill to fetch a pail of water, they would have to ensure that in order to keep the level of water the same on the way back down, they would need to both support the pail.
Many of you in this industry are ...