Reimbursement Coding

Soluble Systems is committed to providing you with accurate and timely information regarding the reimbursement status of TheraSkin. The two documents found in this section provide an overview of the relevant reimbursement information for Theraskin. TheraSkin was granted Q code status (TheraSkin - Q4121) with Medicare in Jan 2011. The Medicare reimbursement for TheraSkin is based on a PER CM² basis and this is updated every three months based on a nationally derived Average Selling Price for TheraSkin in the previous three month period. TheraSkin is reimbursed in the clinician’s office (Place of Service - 11) and within the Hospital Outpatient Dept. (WCC)/Ambulatory Surgical Center (ASC) (Place of Service – 22&24). The attached documents represent the most recent reimbursement rate for TheraSkin for Medicare/AB MAC reimbursement.