Clean Up CPT/ICD-10-CM Coding and Billing for Wound Care - On-Demand

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Clean Up CPT/ICD-10-CM Coding and Billing for Wound Care - On-Demand

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Clean Up CPT/ICD-10-CM Coding and Billing for Wound Care - On-Demand

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Available ON-DEMAND

Presented on: Tuesday, March 23, 2021

Presented by: Gloria Miller, CPC, CPMA, CPPM

Reporting wound care encounters accurately and completely according to the ICD-10-CM and CPT® guidelines can be a challenge, as can navigating the rules around billing and payment for wound-related services. The introduction of new E/M coding guidelines for outpatient visits has added to the complexity. Wound care clinics also face increased scrutiny from Medicare and third-party payers regarding the reporting of debridement and cellular-based tissue products.

During this 90-minute live and on-demand webinar, Gloria Miller, CPC, CPMA, CPPM, will review the latest ICD-10-CM codes and coding guidelines applicable to wound care services. Miller will discuss best practices for wound care documentation, coding, and billing, and review substantial updates to the AMA’s E/M reporting guidelines. She will also discuss CPT coding for wound debridement and skin grafting, and provide billing advice to help listeners maximize reimbursement for these services. The presentation will be followed by a live Q&A.

At the conclusion of this program, participants will be able to:

  • Locate appropriate diagnosis codes for wound care local coverage determinations
  • Adhere to updated E/M reporting guidelines as they apply to wound care encounters
  • Appropriately apply CPT codes and modifiers for wound care assessments
  • Interpret complex pricing data for cellular-based tissue products


  • Medical necessity for wound care procedures
    • Documentation necessary to meet medical necessity
    • Finding diagnosis codes related to medical necessity
  • 2021 ICD-10-CM wound care codes
    • New diabetes guideline for long-term insulin or oral hypoglycemic drugs
    • New codes for chronic kidney disease, glucose transporter deficiencies, and more
  • Documentation and CPT/HCPCS coding for common wound procedures
    • CPT coding for wound debridement, skin grafts, and substitutes
  • E/M coding and guideline updates 
    • Physician and hospital reporting of visit services for wound care management
    • Coding and billing for virtual encounters
  • Distinct procedural service modifiers
    • Appropriate use of modifiers -25, -59, and -X{EPSU}
    • Coding examples from operative reports
  • Medicare billing and payment for cellular-based tissue products
    • LCD coverage limitations and pricing for high- and low-cost skin substitutes
    • Best practices to ensure accurate reimbursement for these products

Who Should Listen?

  • Clinical staff/wound care providers
  • Outpatient coding managers and staff
  • Physician coding managers and staff
  • Wound care staff
  • Compliance staff
  • Chargemaster coordinators
  • Finance staff
  • Provider-based clinic billers and coders
  • Revenue integrity staff

Meet the Speaker

Gloria Miller  Gloria Miller, CPC, CPMA, CPPM, previously worked as the vice president of reimbursement services at Comprehensive Healthcare Solutions Inc. in Seattle, where she assisted hospitals with correct documenting, coding, and billing for wound care and hyperbaric oxygen services. She has many years of varied experience in healthcare reimbursement, including durable medical equipment, hospital billing, skilled nursing facility billing, and infusion pharmacy billing.   

Continuing Education

This program has the prior approval of AAPC for 1.5 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

Ability to claim credits for this webinar expires on: 3/31/22

This program has been approved for 1.5 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).

Association of Clinical Documentation Integrity Specialists (ACDIS)
This program has been approved for continuing education units towards fulfilling the requirements of the Certified Clinical Documentation Specialist (CCDS) certification and CCDS-O (outpatient) certification, offered as a service of the Association of Clinical Documentation Integrity Specialists (ACDIS). 

National Association of Healthcare Revenue Integrity (NAHRI)
This program has been approved for continuing education units towards fulfilling the requirements of the Certification in Healthcare Revenue Integrity (CHRI), offered as a service of the National Association of Healthcare Revenue Integrity (NAHRI).


Webinar system requirements and program materials: 
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: 56K or faster Internet connection (high-speed connection recommended) 
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices 

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location. 

No problem. The On-Demand version will be available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $259 value! 

Participation in the webinar is just $259 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 800-650-6787 or email if you have questions.