Category | Item | Current procedural terminology/diagnosis-related group code | Medicare costs |
---|---|---|---|
Clinic visits*† | Physician, SSD | 97597 | $23.48 |
Facility, SSD | 97597 | $106.96 | |
Facility, enzymatic debridement | 97602 | $71.54 | |
Physician, clinic visit (level 1) | 99211 | $8.85 | |
Facility, clinic visit (level 1) | 99211 | $56.77 | |
Physician, clinic visit (level 2) | 99212 | $24.50 | |
Facility, clinic visit (level 2) | 99212 | $73.68 | |
Physician, clinic visit (level 3) | 99213 | $49.67 | |
Dressings‡ | Silvercel | A6196§ | $7.96 each |
Alginate | A6196§ | $7.96 each | |
Allevyn® nonadhesive | A6209§ | $8.09 each | |
Hydrogel sheeting dressing | A6242§ | $7.17 each | |
Wet-to-dry gauze | A6402§ | $0.13 per yard | |
4x4 gauze | A6402§ | $0.13 per yard | |
Wrappings¶ | Coban® | A6454§ | $0.84 per yard |
Coflex | A6454§ | $0.84 per yard | |
Medication | Collagenase ointment (CCO) | J3590§ | $182.76 per tube |
Silver sulfadiazine 1% cream | 591081055‖ | $9.94 per tube |