We Handle the Billing. You Handle the Healing
Wound care is denial-heavy due to procedure depth, frequency limits, and strict LCD coverage rules. Even experienced billing teams lose revenue without specialty controls.
Wound care medical billing is governed by strict Local Coverage Determination policies issued by Medicare and enforced by CMS, making depth, frequency, and medical necessity validation critical for reimbursement.
We eliminate these risks with wound-specific billing workflows and payer-aligned validation
Our wound care billing and coding services cover the full wound care revenue cycle management lifecycle from authorization to denial recovery.
We bill wound care procedures across chronic, surgical, traumatic, and advanced therapy settings with depth-specific and frequency-validated coding.
Diabetic foot ulcers
Venous stasis ulcers
Pressure injuries stage one through four
Arterial insufficiency wounds
Non-healing surgical wounds
Radiation-related wounds
Ischemic and neuropathic ulcers
Selective debridement
Excisional debridement
Depth-specific coding muscle, fascia bone
Surface area-based CPT validation
Multiple wound and multiple site coding
Debridement frequency & medical necessity checks
Biologic graft placement
Synthetic skin substitutes
Product-specific payer rules
Application frequency compliance
Episode of care tracking
Documentation alignment with product labeling
Partial and full-thickness burns
Acute trauma wounds
Surgical wound complications
Postoperative wound care
Burn staging and surface area validation
Negative pressure wound therapy
Compression therapy
Hyperbaric wound-related billing
Advanced dressing applications
Device usage documentation alignment
Rental versus purchase billing validation
Medicare-compliant episode-of-care tracking
for NPWT and device-based wound therapies
Documentation & wound measurement verification
Accurate CPT ICD-10 etiology mapping
CMS LCD payer compliance checks
Frequency and care episode validation
Modifier accuracy for wound sites
Prior authorization confirmed when required
Payer rules alignment audit readiness
For every wound care encounter across clinics, hospitals, and wound centers, our team performs
Documentation verification and wound measurement review
ICD-10 and CPT depth alignment
LCD medical necessity validation
Modifier application review
Frequency and interval verification
Product-specific payer rule checks
Compliance confirmation before submission
These are the most common wound care billing challenges identified through denial root cause analysis.
Fix: Automated global-period tracking + coder review.
Every claim is coded, checked, and validated with precision.
Every claim is coded, checked, and validated with precision.
Every claim is coded, checked, and validated with precision.
Every claim is coded, checked, and validated with precision.
CO-50
CO-151
CO-97
CO-16
CO-109
Not medically necessary
Frequency exceeded
Bundled service
Missing information
Not covered
Missing ulcer stage or depth
Debridement too frequent
Multiple wounds were incorrectly combined
Incomplete measurements
Graft product limitation
Add clinical notes and resubmit
Verify interval and appeal
Correct modifier usage
Attach wound chart
Validate LCD and refile
Consult wound care billing specialists experienced in debridement
depth, graft rules, and LCD-driven compliance.
It involves coding and billing for chronic wounds, burns, debridement grafts and advanced therapies with strict documentation rules.
Because reimbursement depends on depth measurements, frequency rules and medical necessity documentation.
Yes ,including selective excisional and product-specific graft billing.
Yes, most practices see measurable improvement within 30 to 60 days.
Yes, including hospital-based and outpatient wound programs.
