AAH comments highlight NPWT code confusion

Thursday, September 11, 2014

WASHINGTON – Commenting on code changes in CMS’s proposed CY 2015 Hospital Outpatient Prospective Payment System, AAHomecare says there is significant confusion among providers about the use of G0456 and G0457 with mechanical and electrical disposable NPWT devices. Confusion also surrounds the variance in components billed with distinct products, according to the association. Three manufacturers, through the Alliance of Wound Care Stakeholders, are working to provide CMS with detailed information on the costs of devices so the agency can establish non-facility practice expense relative value units for the new CPT codes for disposable NPWT, the association says. “AAHomecare recommended that CMS review those paid invoices and consider the costs of these devices when setting APC assignment of disposable NPWT and that any APC reassignment would be premature at this time and CMS should continue to place disposable NPWT APC 0016,” the association stated in a bulletin to members.