News You Can Use: VAC Codes and Stretta Face No-Pay Status

Why This Topic Matters

Coverage policy can differ from code creation, so coders and billers need payer-specific guidance before assuming reimbursement. Understanding these policy updates helps reduce denied claims and supports more accurate charge capture and compliance.

Article Sections

1. Payer coverage cautions for newer procedure codes

   An overview of how payer policy may differ from the existence of a new procedure code. The section frames the article’s focus on reimbursement status and coverage concerns.

2. Wound vacuum assisted closure codes and status

   Discussion of payer treatment of wound therapy reporting and the related CMS status classification. The section addresses whether these services are separately payable.

3. Stretta procedure coverage concerns

   Coverage developments affecting the endoscopic GERD treatment procedure and the relevant CPT update. The section summarizes draft Medicare contractor policy activity.

4. Virtual colonoscopy coverage differences among carriers

   A comparison of payer positions on CT colonography coverage and the role of Medicare contractor decisions. The section notes that carrier policies are not uniform.