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MM13244 - Separate Payment for Disposable Negative Pressure Wound Therapy Devices on Home Health Claims

This revised Article comprises Subregulatory Guidance for negative pressure wound therapy (NPWT) using a disposable device that starting January 1, 2024 Medicare will make separate payment for HCPCS code A9272 on type of bill (TOB)032x, instead of 034x and MACs will apply deductible and coinsurance. MLN Matters (MM) Articles are based on information contained within Change Requests (CRs). In this case, this article is based on content within CR13244 that is posted on the CMS website at https://www.cms.gov/files/document/r12382BP.pdf and https://www.cms.gov/files/document/r12382CP.pdf.

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Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: November 03, 2023

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.