CMS has issued a change request updating the Medicare Claims Processing Manual to reflect new requirements for billing disposable negative pressure wound therapy (NPWT) devices.
 
Effective Jan. 1, 2024, these claims will use Type of Bill 032x only. Disposable NPWT claims that use Type of Bill 034x will be returned to the provider, CMS notes in the updates.
 
The addition to Chapter 10 §40.2 also includes a new section for disposable NPWT services:
 
Effective for claims with statement covers Through dates on or after January 1, 2024, Medicare makes a separate payment amount for a disposable negative pressure wound therapy (NPWT) device for a patient under a home health plan of care. Payment is equal to the supply price used to determine the relative value for the service under the Medicare Physician Fee Schedule (as of January 1, 2022) for the applicable disposable device and updated by the consumer price index for all urban consumers minus the productivity adjustment for each future year.
 
Disposable NPWT services are billed using the following HCPCS code: A9272 - wound suction, disposable, includes dressing, all accessories and components, any type, each.
 
The HHA reports the HCPCS code with revenue code 027x (other than 0274), units representing the number of disposable devices provided during the billing period and a charge amount. Since Medicare payment no longer includes the services of the practitioner applying the device, revenue codes 042x, 043x or 0559 are not used for dNPWT HCPCS codes on Type of Bill 032x.
 
Read the full change request at https://www.cms.gov/files/document/r12382cp.pdf.