DecisionHealth, DecisionHealth - 2025 Issue 10 (October)

Ensure appropriate coding, documentation for skin substitute claims

Skin substitutes continue to play a critical role in the treatment of chronic wounds, and there are more products available today than ever before. Organizations have long called for Medicare administrative contractors (MAC) to develop local coverage determinations (LCD) for skin substitute products and their application. Although MACs have slowly started to spell out their coverage criteria for skin substitute grafts used to treat certain conditions, progress has been slow.

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