Our surgeons see patients 3 days a wk at the hospital's wound care center. The reimbursement "training" we were given by the WCC advised that the only documentation we would need to support billing for the HBO Supervision 99183, is the HBO Treatment Record which lists HBO Indications at the top and the DX is usually marked there. We also receive a superbill that the MD marks their CPT and ICD-9 codes on.
On this particular patient the HBO record has Diabetic Wound of Lower Extremities marked but on the superbill everyone has marked 250.70 707.06 and 707.07. They have also checked the box marked Diabetic Wounds of the Lower Extremity (DWLE) 250.7- or 250.8- and 707.1-.
Pressure ulcers are not considered med nec dx for HBO treatment but 250.70 is covered per the NCD. Is it ok to bill 250.70 as the only DX code on the claim? I thought that an additional code had to be listed to indicate the manifestation.
Any help would be greatly appreciated!
Thanks!
On this particular patient the HBO record has Diabetic Wound of Lower Extremities marked but on the superbill everyone has marked 250.70 707.06 and 707.07. They have also checked the box marked Diabetic Wounds of the Lower Extremity (DWLE) 250.7- or 250.8- and 707.1-.
Pressure ulcers are not considered med nec dx for HBO treatment but 250.70 is covered per the NCD. Is it ok to bill 250.70 as the only DX code on the claim? I thought that an additional code had to be listed to indicate the manifestation.
Any help would be greatly appreciated!
Thanks!