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Reimbursement for Wound Dressings

Jennifer A. Gardner, PT, DPT, MHA, CWS

March 26, 2014

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Question

Is there any reimbursement for wound dressings?

Answer

It depends upon the funding source.  Medicare does not pay for dressings.  It is rolled into the treatment cost and is part of the "cost of doing business", so to speak.  For skin substitutes, like OASIS, has a CPT code and can be billed. However, general dressings are not covered.  Some private insurances will pay a percentage of charge, while others will pay for the procedure only.


jennifer a gardner

Jennifer A. Gardner, PT, DPT, MHA, CWS

Dr. Gardner has been a physical therapist for 16 years with the last 11 concentrated solely on wound care. She became a Certified Wound Specialist in 2001 and successfully passed her re-certification in October 2011. Currently, Dr. Gardner is employed at Inspira Medical Center Woodbury as the Manager of Wound Care Services, supervising both inpatient wound care and the outpatient wound center. In addition, she has been adjunct professor at College of St. Scholastica in Duluth, MN for the last 8 years, teaching Integumentary to doctoral physical therapy students.  Dr. Gardner has presented both nationally and internationally on various wound care topics and continues to participate in research studies on new concepts in wound healing.


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