Effective April 1, 2022, CMS created the following HCPCS codes that may be reported for SUPRATHEL® and SUPRA SDRM® Synthetic Skin Substitutes:
|A2011||SUPRA SDRM, per sq cm|
|A2012||SUPRATHEL, per sq cm|
When billed in the physician office, the relevant A-code should be reported along with the appropriate CPT code for the application of skin substitute (CPT codes 15271-15278).
As of January 1, 2023, CMS has assigned SUPRATHEL and SUPRA SDRM to the high-cost category when billed in the hospital outpatient and ASC setting. It is important to note:
- Hospital outpatient departments will report the appropriate CPT codes for the application of skin substitute and the appropriate A-code for SUPRATHEL or SUPRA SDRM.
- ASCs will report the appropriate CPT code for the application of skin substitute. ASCs do not separately report the A-codes.
If you have any questions, please contact our customer service:
General Inquiries & Product Trials: INFO.USA@POLYMEDICS.COM
Reimbursement & Billing Questions: REIMBURSEMENT.USA@POLYMEDICS.COM
Or call PMI customer service: (646) 604-2771