2017 FACILITY CODING GUIDE

Transcription

1 2017 FACILITY CODING GUIDE Breast Repair and/or Reconstruction CPT 1 Procedure Codes CPT Code Descriptors Relative Value Units (RVUs) 2 Non Facility/ Facility Payment Classification (APC) 3 Hospital Outpatient Surgery Center (ASC) Replacement of tissue expander with permanent prosthesis $5, $2, Implantation of biologic implant [e.g., acellular dermal matrix] for soft tissue reinforcement [i.e., breast, trunk]. [List separately in addition to code 6.23 N/A N/A N/A for primary procedure] Unlisted procedure, skin, mucous membrane andsubcutaneous tissue [For implantation of biologic implants for soft tissue reinforcement in tissues other than breast and trunk, [report code 17999] $ N/A Unlisted procedure, skin, mucous membrane and subcutaneous tissue $6, $2, Mammaplasty, augmentation; with prosthetic implant $6, $2, Immediate insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction $4, $1, Delayed insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction $6, $2, Nipple/areola reconstruction 23.53/ $2, $1, Breast reconstruction, immediate or delayed, with tissue expander, including subsequent expansion $10, $2, Breast reconstruction with latissimus dorsi flap, without prosthetic implant N/A Breast reconstruction with free flap N/A Breast reconstruction with other technique $4, $1, Breast reconstruction with transverse rectus abdominis myocutaneous flap [TRAM], single pedicle, including closure of donor site Breast reconstruction with tranverse rectus abdominis myocutaneous flap (TRAM), single pedicle, including closure of donor site; with microvascular anastomosis (supercharging) Breast reconstruction with tranverse rectus abdominis myocutaneous flap (TRAM), double pedicle, including closure of donor site N/A N/A N/A Open periprosthetic capsulotomy, breast $2, $1, Periprosthetic capsulectomy, breast $2, $1, Revision of reconstructed breast $4, $1, Preparation of moulage for custom breast implant 8.32/ $2, $1,005.57

2 ICD-10-PCS Codes 4 0HT, 07T, 0KT [series] 0HK, 0HR, 0KX [series] 0HW [series] 0HH [series] 0HR [series] Resection/Skin and Breast, Resection/Lymphatic and Hemic Systems, Resection/Muscles Replacement/Skin and Breast Revision/Skin and Breast Insertion/Skin and Breast Dermal Regenerative Graft Medicare National Facility Diagnosis Related Groups [DRGs] & Descriptors Average Payment Wound Debridement & Skin Graft Except Hand, For Musculo-Connective Tissue Disorder w MCC $32, Wound Debridement & Skin Graft Except Hand, For Musculo-Connective Tissue Disorder w CC $18, Wound Debridement & Skin Graft Except Hand, For Musculo-Connective Tissue Disorder w/o CC/MCC $12, Skin Graft Exc For Skin Ulcer Or Cellulitis w MCC $25, Skin Graft Exc For Skin Ulcer Or Cellulitis w CC $13, Skin Graft Exc For Skin Ulcer Or Cellulitis w/o CC/MCC $8, Mastectomy For Malignancy w CC/MCC $8, Mastectomy For Malignancy w/o CC/MCC $7, Breast Biopsy, Local Excision & Other Breast Procedures w CC/MCC $10, Breast Biopsy, Local Excision & Other Breast Procedures w/o CC/MCC $9, Skin Grafts For Injuries w CC/MCC $19, Skin Grafts For Injuries w/o CC/MCC $8, Hand Procedures For Injuries $8, Other O.R. Procedures For Injuries w MCC $23, Other O.R. Procedures For Injuries w CC $12, Other O.R. Procedures For Injuries w/o CC/MCC $7, Other O.R. Procedures For Multiple Significant Trauma w CC $23, Other O.R. Procedures For Multiple Significant Trauma w/o CC/MCC $15, Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis w MCC $19, Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis w CC $10, Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis w/o CC/MCC $6,

3 Complex Abdominal Wall Reconstruction CPT Codes Ventrical/ incisional CPT 1 Code Descriptors Implantation of biologic implant [e.g., acellular dermal matrix] for soft tissue reinforcement [i.e., breast, trunk]. [List separately in addition to code for primary procedure] Unlisted procedure, skin, mucous membrane andsubcutaneous tissue [For implantation of biologic implants for soft tissue reinforcement in tissues other than breast and trunk,report code 17999] Implantation of mesh or other prosthesis for open incisional or ventral hernia repair or mesh for closure of debridement for necrotizing soft tissue infection. [List separately in addition to code for the incisional or ventral hernia repair] Removal of prosthetic material or mesh, abdominal wall for infection [e.g., for chronic or recurrent mesh infection or necrotizing soft tissue infection].[list separately in addition to code for primary procedure]. Muscle, myocutaneous, or fasciocutaneous flap; trunk. [Report twice if bilateral. Modifier-51 [if Multiple Procedure] or -59 [Distinct Procedural Service] for the $1, Relative Value Units (RVUs) 2 Non Facility / Facility Payment Classification (APC) 3 Hospital Outpatient 6.23 N/A N/A N/A $ N/A 7.76 N/A 7.97 N/A Surgery Center (ASC) / $2, $1, Repair initial incisional or ventral hernia; reducible $2, $1, Repair initial incisional or ventral hernia; incarcerated or strangulated $2, $1, Repair recurrent incisional or ventral hernia; reducible $4, $2, Repair recurrent incisional or ventral hernia; incarcerated or strangulated $4, $2, Repair umbilical hernia, age 5 years or older; reducible $2, $1, Repair umbilical hernia, age 5 years or older; incarcerated or strangulated $2, $1, Laparoscopic Laparoscopy, surgical, esophagogastric fundoplasty [e.g., Nissen, Toupet procedures] $6, N/A Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh N/A Laparascopy, surgical; ileostomy or jejunostomy, non-tube N/A Laparoscopy, surgical, colostomy or skin level cecostomy N/A Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum and ileocolostomy Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy [low pelvic anastomosis] with colostomy Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy Laparoscopy, surgical; closure of enterostomy, large or small intestine, with resection or anastomosis N/A N/A N/A N/A N/A Laparoscopy, surgical; repair initial inguinal hernia $4, $2, Laparoscopy, surgical; repair recurrent inguinal hernia 8.38 $ $4, $2, Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); $4, $2, incarcerated or strangulated Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion,when performed); reducible $6, $3, Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed);incarcerated or strangulated $6, $3,

4 CPT Codes Laparoscopic (continued) CPT 1 Code Descriptors Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); reducible Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy Relative Value Units (RVUs) 2 Non Facility/ Facility Payment Classification (APC) 3 Hospital Outpatient Surgery Center (ASC) $6, $3, $6, $3, $4, N/A Inguinal Repair initial inguinal hernia, age 5 years or over; reducible $2, $1, Repair initial inguinal hernia, age 5 years or over; incarcerated or strangulated $2, $1, Repair recurrent inguinal hernia, any age; reducible $2, $1, Repair recurrent inguinal hernia, any age; incarcerated or strangulated $2, $1, Repair inguinal hernia, sliding, any age $2, $1, Hiatal Repair, diaphragmatic hernia [other than neonatal], traumatic; acute N/A Repair, diaphragmatic hernia [other than neonatal], traumatic; chronic N/A Resection, diaphragm; with complex repair [e.g., prosthetic material, local muscle flap] Esophagogastric fundoplasty; with fundic patch [Thal-Nissen procedure] N/A N/A Esophagogastric fundoplasty partial or complete; laparotomy N/A Esophagogastric fundoplasty partial or complete; thoracotomy N/A Repair, paraesophageal hiatal hernia [including fundoplication], via laparotomy, except neonatal; with implantation of mesh or other prosthesis Repair, paraesophageal hiatal hernia [including fundoplication], via thoracotomy, except neonatal; with implantation of mesh or other prosthesis Repair, paraesophageal hiatal hernia, [including fundoplication], via thoraco-abdominal incision, except neonatal; with implantation of mesh or other prosthesis] N/A N/A N/A 4

5 CPT Codes CPT 1 Code Descriptors Relative Value Units (RVUs) 2 Non Facility/ Facility Stoma Colectomy, partial; with skin level cecostomy or colostomy N/A Colectomy, partial; with end colostomy and closure of distal segment [Hartmann type procedure] Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula Revision of ileostomy; simple (release of superficial scar). [Separate procedure]. Revision of ileostomy; complicated (reconstruction in-depth). [Separate procedure] N/A N/A Payment Classification (APC) 3 Hospital Outpatient Surgery Center (ASC) $2, $1, N/A Colostomy or skin level cecostomy N/A Revision of colostomy; simple [release of superficial scar]. [Separate procedure]. Revision of colostomy; complicated [reconstruction in-depth]. [Separate procedure]. Revision of colostomy; with repair of paracolostomy hernia. [Separate procedure]. Suture of large intestine; (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy $2, $1, N/A N/A N/A Excision of ileoanal reservoir with ileostomy N/A 5

6 ICD-10-PCS Codes 4 0B5 [series] 0BB [series] 0BQ [series] 0BU [series] 0D1 [series] 0D8 [series] 0DB [series] 0DJ [series] 0DN [series] 0DQ [series] 0DT [series] 0DU [series] 0DV [series] 0F5 [series] 0FB [series] 0FJ [series] 0FN [series] 0FT [series] 0H8 [series] 0W2 [series] 0WJ [series] 0WQ [series] 0WU [series] 0YQ [series] Facility Diagnosis Related Groups [DRGs] & Descriptors Destruction/Respiratory System Excision/Respiratory System Repair/Respiratory System Supplement/Respiratory System Bypass/Gastrointestinal System Division/Gastrointestinal System Excision/Gastrointestinal System Inspection/Gastrointestinal System Release/Gastrointestinal System Repair/Gastrointestinal System Resection/Gastrointestinal System Supplement/Gastrointestinal System Restriction/Gastrointestinal System Destruction/Hepatobiliary System and Pancreas Excision/Hepatobiliary System and Pancreas Inspection/Hepatobiliary System and Pancreas Release/Hepatobiliary System and Pancreas Resection/Hepatobiliary System and Pancreas Division/Skin and Breast Change/Anatomical Regions, General Inspection/Anatomical Regions, General Repair/Anatomical Regions, General Supplement/Anatomical Regions, General Repair/Anatomical Regions, Lower Extremities 0YU [series] Supplement/Anatomical Regions, Lower Extremities 6

7 Facility Diagnosis Related Groups [DRGs] & Descriptors Medicare National Average Payment 5 AbWall MS-DRGs 163 Major Chest Procedures w MCC $29, Peritoneal Adhesiolysis w MCC $24, Peritoneal Adhesiolysis w CC $13, Peritoneal Adhesiolysis w/o CC/MCC $9, Hernia Procedures Except Inguinal & Femoral w MCC $24, Hernia Procedures Except Inguinal & Femoral w CC $13, Hernia Procedures Except Inguinal & Femoral w/o CC/MCC $9, Major Small and Large Bowel / Intestinal Procedures 329 Major Small & Large Bowel Procedures w MCC $29, Major Small & Large Bowel Procedures w CC $15, Major Small & Large Bowel Procedures w/o CC/MCC $9, Rectal Resection w MCC $28, Rectal Resection w CC $14, Rectal Resection w/o CC/MCC $9, Anal & Stomal Procedures w MCC $14, Anal & Stomal Procedures w CC $8, Anal & Stomal Procedures w/o CC/MCC $5, Esophageal Procedures 326 Stomach, Esophageal & Duodenal Procedures w MCC $32, Stomach, Esophageal & Duodenal Procedures w CC $15, Stomach, Esophageal & Duodenal Procedures w/o CC/MCC $9, Cholecystectomy 411 Cholecystectomy W C.D.E. w MCC $21, Cholecystectomy W C.D.E. w CC $14, Cholecystectomy W C.D.E. w/o CC/MCC $10, Laparoscopic Cholecystectomy w/o C.D.E. w MCC $14, Laparoscopic Cholecystectomy w/o C.D.E. w CC $9, Laparoscopic Cholecystectomy w/o C.D.E. w/o CC/MCC $7, Other Procedures 356 Other Digestive System O.R. Procedures w MCC $22, Other Digestive System O.R. Procedures w CC $12, Other Digestive System O.R. Procedures w/o CC/MCC $8, Other Musculoskelet Sys & Conn Tiss O.R. Procedures w MCC $18, O.R. Procedures For Obesity w MCC $18, O.R. Procedures For Obesity w CC $10, O.R. Procedures For Obesity w/o CC/MCC $9, Other O.R. Procedures For Injuries w MCC $23, Other O.R. Procedures For Injuries w CC $12, Other O.R. Procedures For Injuries w/o CC/MCC $7, Other O.R. Procedures For Multiple Significant Trauma w MCC $41, Other O.R. Procedures For Multiple Significant Trauma w CC $23, Other O.R. Procedures For Multiple Significant Trauma w/o CC/MCC $15, Extensive O.R. Procedure Unrelated To Principal Diagnosis w MCC $29, Extensive O.R. Procedure Unrelated To Principal Diagnosis w CC $16, Extensive O.R. Procedure Unrelated To Principal Diagnosis w/o CC/MCC $10, Non-Extensive O.R. Proc Unrelated To Principal Diagnosis w MCC $19, Non-Extensive O.R. Proc Unrelated To Principal Diagnosis w CC $10, Non-Extensive O.R. Proc Unrelated To Principal Diagnosis w/o CC/MCC $6,

8 Head and Neck Reconstruction/ENT Repair CPT Codes CPT 1 Code Descriptors Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; total wound surface area up to 100 sq cm or less, first 25 sq cm or less wound surface area Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof [List separately in addition to code for primary procedure] Unlisted procedure, skin, mucous membrane and subcutaneous tissue [For implantation of biologic implants for soft tissue reinforcement in tissues other than breast and trunk, report code 17999] Relative Value Units (RVUs) 2 Non Facility / Facility Payment Classification (APC) 3 Hospital Outpatient Surgery Center (ASC) 4.23 / $1, $ / 0.73 N/A N/A N/A $ N/A Nose Rhinoplasty, primary; including major septal repair $4, $2, Larynx Salivary Glands Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip only Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft $4, $2, $2, $ Repair nasal septal perforations $2, $ Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, younger than 12 years of age Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, age 12 years or older Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, younger than 12 years of age Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, age 12 years or older $4, $2, $4, $2, $4, $2, $4, $2, Layrngoplasty, cricoid split $4, N/A Laryngeal reinnervation by neuromuscular pedicle $4, $2, Unlisted procedure, larynx $ N/A Plastic repair of salivary duct, sialodochoplasty; primary or simple 12.49/ $4, $2, Plastic repair of salivary duct, sialodochoplasty; secondary or complicated 15.97/ $4, $2, Pharynx Limited pharyngectomy $4, $2, Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneousflap or free muscle, skin, or fascial flap with microvascular anastomosis $4, $2, N/A 8

9 CPT Codes CPT 1 Code Descriptors Relative Value Units (RVUs) 2 Non Facility / Facility Payment Classification (APC) 3 Hospital Outpatient Surgery Center (ASC) Middle Ear Transmastoid antrotomy [simple mastoidectomy] $4, $2, Mastoidectomy; complete $4, $2, Mastoidectomy; modified radical $4, $2, Revision mastoidectomy; resulting in complete mastoidectomy $4, $2, Revision mastoidectomy; resulting in modified radical mastoidectomy $4, $2, Revision mastoidectomy; resulting in tympanoplasty $4, $2, Palate Tympanoplasty with mastoidectomy; (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction Tympanoplasty with mastoidectomy; (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction Tympanoplasty with mastoidectomy; (including canalplasty, middle ear surgery, tympanic, membrane repair); with intact or reconstructed wall without ossicular chain reconstruction Tympanoplasty with mastoidectomy; (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction Tympanoplasty with mastoidectomy; (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction Tympanoplasty with mastoidectomy, (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft) $4, $2, $4, $2, $4, $2, $4, $2, $4, $2, $4, $2, $2, $ $4, $2, Palatoplasty for cleft palate; major revision $4, $2,

10 ICD-10-PCS Diagnosis Codes 3 08B [series] Excision/Eye 08N [series] Release/Eye 08Q [series] Repair/Eye 08R [series] Replacement/Eye 08S [series] Reposition/Eye 08U [series] Supplement/Eye 09M [series] Reattachment/Ear, Nose, Sinus 09N [series] Release/Ear, Nose, Sinus 090 [series] Alteration/Ear, Nose, Sinus 09Q [series] Repair/Ear, Nose, Sinus 09R [series] Replacement/Ear, Nose, Sinus 09S [series] Reposition/Ear, Nose, Sinus 09U [series] Supplement/Ear, Nose, Sinus 0CM [series] Reattachment/Mouth and Throat 0CN [series] Release/Mouth and Throat 0C0 [series] Alteration/Mouth and Throat 0CQ [series] Repair/Mouth and Throat 0CR [series] Replacement/Mouth and Throat 0CS [series] Reposition/Mouth and Throat 0CU [series] Supplement/Mouth and Throat 0CV [series] Restriction/Mouth and Throat 0CX [series] Transfer/Mouth and Throat 0DQ [series] Repair/Gastrointestinal System 0HQ [series] Repair/Skin and Breast 0HR [series] Replacement/Skin and Breast 0JB [series] Excision/Subcutaneous Tissue and Fascia 0KS [series] Reposition/Muscles 0KU [series] Supplement/Muscles 0KX [series] Transfer/Muscles 0NN [series] Release/Head and Facial Bones 0NQ [series] Repair/Head and Facial Bones 0NR [series] Replacement/Head and Facial Bones 0NU [series] Supplement/Head and Facial Bones 0WF [series] Fragmentation/Anatomical Regions, General 10 Facility Diagnosis Related Groups [DRGs] & Descriptors Medicare National Average Payment Other O.R. Procedures For Injuries w CC $12, Other O.R. Procedures For Injuries w/o CC/MCC $7, Extensive Burns Or Full Thickness Burns W Mv >96 Hrs w Skin Graft $86, Full Thickness Burn W Skin Graft Or Inhalation Injury w CC/MCC $30, Full Thickness Burn W Skin Graft Or Inhalation Injury w/o CC/MCC $15, Other O.R. Procedures For Multiple Significant Trauma w MCC $41, Other O.R. Procedures For Multiple Significant Trauma w CC $23, Other O.R. Procedures For Multiple Significant Trauma w/o CC/MCC $15, Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis w MCC $19, Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis w CC $10, Non-Extensive O.R. Proc Unrelated To Principal Diagnosis w/o CC/MCC $6,299.24

11 LifeCell Reimbursement Support Services Providing reimbursement support to assist with your coding, coverage and reimbursement questions associated with LifeCell products including: ALLODERM Regenerative Tissue Matrix, ALLODERM SELECT Regenerative Tissue Matrix Ready To Use, STRATTICE Reconstructive Tissue Matrix, CYMETRA MICRONIZED ALLODERM Tissue Matrix, and REVOLVE System. Contact Us: Monday to Friday Tel: am - 5 pm PST Fax: am - 7 pm CST LifeCell@ReimbursementAccess.com 8 am - 8 pm EST (Closed on major observed holidays) Support Services: Educate on correct coding, insurance coverage, policy guidelines and payment methodologies Assist with coding, billing options and coverage in support of accurate claims processing Assistance in obtaining positive coverage decisions with payors, pre-authorizations, and denied claim appeals Disclaimer: This document has been prepared for providers using LifeCell products and is intended for informational purposes only, not as guidance or instructions; it does not represent a guarantee, promise or statement by LifeCell Corporation concerning guarantee of payment, or levels of reimbursement. It is not intended to increase or maximize reimbursement. The decision as to how to complete a claim form, including the codes chosen and amounts to bill is exclusively the responsibility of the provider. * Coding selection is at the discretion of the provider. It is advised to contact your local payor directly for coding guidance and requirements when reporting the codes for LifeCell TM products. References: 1. Current Procedure Terminology (CPT) copyright 2016 American Medical Association (AMA). All Rights Reserved. CPT is a registered trademark of the AMA. 2. National average Medicare payment is calculated using the Conversion Factor of $ , as per the 2017 National Physician Fee Schedule Relative Value File January Release, 11/2/ Federal Register, Vol. 81, No. 219, November 14, CMS-1656-FC and IFC. 42 CFR Parts 414, 416, 419, 482, 486, 488, 495. Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Surgical Center Payment Systems and Quality Reporting Programs; Organ Procurement Organization Reporting and Communication; Transplant Outcome Measures and Documentation Requirements; Electronic Health Record (EHR) Incentive Programs; Payment to Nonexcepted Off-Campus Provider-Based Department of a Hospital; Hospital Value-Based Purchasing (VBP) Program; Establishment of Payment Rates Under the Medicare Physician Fee Schedule for Nonexcepted Items and Services Furnished by an Off- Campus Provider-Based Department of a Hospital. 4. OPTUM360 EncoderPro.com for Payers Professional 2017 [ 2017 Optum360, LLC. All rights reserved]. 5. Federal Register, Vol. 81, No. 162, Part II, August 22, CMS-1655-F; CMS-1644-F; CMS-1632F2. 42 CFR Parts 405, 412, 413, and 489. Medicare Program; Hospital Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2017 Rates; Quality Reporting Requirements for Specific Providers; Graduate Medical Education; Hospital Notification Procedures Applicable to Beneficiaries Receiving Observation Services; Technical Changes Relating to Costs to Organizations and Medicare Cost Reports; Finalization of Interim Final Rules With Comment Period on LTCH PPS Payments for Severe Wounds, Modifications of Limitations on Redesignation by the Medicare Geographic Classification Review Board, and Extensions of Payments to MDHs and Low-Volume Hospitals. Includes Corrections posted 11/31/16 in CMS CN3. Assumes that Hospital Submitted Quality Data and is a Meaningful EHR User (Update =1.65 Percent). 11

12 For more information, please contact your LifeCell Customer Solutions at , or fax LifeCell Corporation: One Millennium Way Branchburg, NJ Tel: Fax: Copyright 2017 LifeCell Corporation. All rights reserved. All trademarks designated herein are proprietary to Lifecell Corporation, its affiliates and/or licensors. MLC5001-R1/6791/1-2017