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REIMBURSEMENT

The coding information provided below is based on the national averages and have not been verified with any entity responsible for coding policy such as the AMA, CMS, or any other payer.  As such, the information set out in this document is for illustrative purposes only and does not constitute a recommendation or guarantee of compliant coding, coverage, or reimbursement.  Local and national policies on coding, coverage, and reimbursement differ among third parties and are subject to frequent changes.  The information is not intended to replace coding, coverage, or reimbursement advice from any payer.  WoundKair Concepts, Inc. makes no representation or warranty regarding coverage or payment for any payer or regarding the propriety of the submission of a claim for any particular item or service or the use of any specific code.  The provider of the medical treatment is ultimately responsible for the proper coding and claims submission.

TrueKAST TCC

Total Contact Casting 

Hospital Outpatient Facility (2021 Medicare Base Rate National Averages)

CODE                                                               DESCRIPTION                                                      PAYMENT RATE

CPT 29445 -Physician Fee Schedule           Application of rigid total contact leg cast              $102.24  
(Work Relative Value Unit 1.78)

APC 5102 - Hospital Outpatient Facility     Level II Strapping and Cast Application                  $241.17

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Ambulatory Surgery Center (2021 Medicare Base Rate National Averages)

CODE                                                               DESCRIPTION                                                      PAYMENT RATE

CPT 29445 - Physician Fee Schedule          Application of rigid total contact leg cast 

(Work Relative Value Unit 1.78)           

APC 05102 -Hospital Outpatient Facility    Level II Strapping and Cast Application                     

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Non-Facility / Physician Office (2021 Medicare Base Rate National Averages)

CODE                                                               DESCRIPTION                                                      PAYMENT RATE

CPT 29445 - Physician Fee Schedule          Application of rigid total contact leg cast                 $131.55    

Q4038 - HCPCS                                              Cast Supplies Short Leg Cast, Adult, Fiberglass
                                                                         (11 Years+)

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TrueKAST SCSF

Splinted Cushioning System

Hospital Outpatient Facility (2021 Medicare Base Rate National Averages)

CODE                                                            DESCRIPTION                                                     PAYMENT RATE

29515 - Physician Code - (CPT)                Application of Short Leg Splint Calf to Foot             50.76

05101 - Hospital Outpatient Facility       Level I Strapping and Cast Application                   141.18

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Ambulatory Surgery Center (2021 Medicare Base Rate National Averages)

CODE                                                            DESCRIPTION                                                     PAYMENT RATE

29515 - Physician Code - (CPT)                Lower Extremity Application of Casts                       50.76

05101 - Hospital Outpatient Facility       Level II Strapping and Cast Application                  141.18

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Non-Facility / Physician Office (2021 Medicare Base Rate National Averages)

CODE                                                            DESCRIPTION                                                    PAYMENT RATE

29515 - Physician Code - (CPT)                Lower Extremity Application of Casts                       73.63

Q4046 - HCPC.S                                         Cast Supplies Short Leg Splint, Adult, Fiberglass     19.55

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