CMS has issued a change request to address the change for separate payments for disposable negative pressure wound therapy devices on home health claims.
Starting Jan. 1, 2024, claims for the separate payment amount of an applicable disposable NPWT device will be submitted using TOB 032x with revenue code 027x, except for 0274.
“Don’t submit claims with a date of service on or after January 1, 2024, for an applicable disposable NPWT device on TOB 034x,” CMS stresses in its guidance to providers. “We’ll return claims on TOB 034x containing CPT codes 97607 or 9760.”
In the past, CMS didn’t allow agencies to bill for providing NPWT using a disposable device on the TOB 032x. The Consolidated Appropriations Act of 2023 mandated the separate payment amount for applicable devices would no longer include payment for nursing or therapy services. Effective Jan. 1, those payment will be under the HHPPS and no longer separately billable.