REIMBURSEMENT
Ensuring access to necessary care
Effective April 1, 2022, CMS created the following HCPCS codes that may be reported for SUPRATHEL® and SUPRA SDRM® Synthetic Skin Substitutes:
HCPCS Code
A2011
A2012
Description
SUPRA SDRM®, per cm2
SUPRATHEL®, per cm2
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.