[aptaoncology] Re: Bandaging for lymphedema

  • From: Ashley Ross <vandegrift.ashley@xxxxxxxxx>
  • To: aptaoncology@xxxxxxxxxxxxx
  • Date: Mon, 11 Apr 2022 20:08:43 -0400

https://www.apta.org/news/2022/01/05/ncci-coding-win
This may be helpful.  Looks like there were changes in January 2022 and modifiers May also need to be used.

Sent from my iPhone

On Apr 11, 2022, at 6:52 PM, Stephanie Lockingen <Stephanie.Lockingen@xxxxxxxxx> wrote:



Hello,

We have run into an issue with an audit regarding billing for the application of multilayered compression wrapping.  So, I am looking for any help, research, published information from Medicare that could help at this time.  Essentially we were denied a claim of the wrapping portion of the billing.  I have always previously placed wrapping with manual therapy and billed accordingly – but at this time the decision based on feedback from the audit is that wrapping is not a billable time/charge.  I cannot believe this would be accurate.

So, Please if anyone has any insight, tips, clues, information that would be greatly appreciated.  I would greatly appreciate if anyone can point me in the direction of written information from Medicare, CSM, other information such as this that I can demonstrate to my leadership that this is a billable time and how we can support documentation of such.

Thank you in advance for any thoughts/time/information

 

Stephanie Lockingen, PT, DPT, CLT-LANA

Board Certified Clinical Specialist in Oncology Rehabilitation

Intermountain Oncology and Lymphedema Clinic

LDS Hospital 8th Ave N & C Street

Salt Lake City, UT 84143

And

West Valley Clinic

5373 W Lake Park Blvd

West Valley City, UT 84120

Appointments: 801-902-7940

Office: 801-408-2732

 

 

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