Soluble Systems Receives Reimbursement Codes for TheraGauze™

Newport News, Virginia – Soluble Systems, LLC, manufacturer and marketer of TheraGauze™, an advanced wound care product, today announced that the Statistical Analysis Durable Medical Equipment Regional Carrier (SADMERC) – a contracted intermediary and carrier for the Centers for Medicare & Medical Services (CMS) – has notified the company and the four Durable Medical Equipment Regional Carriers (DMERCs) of its decision regarding Healthcare Common Procedure Coding System (HCPCS) codes for billing purposes for TheraGauze™. The awarded codes are as follows:

• A6242 Hydrogel dressing, wound cover, pad size 16 square inches or less, without adhesive boarder, each dressing (Item # 68294)
• A6243 Hydrogel dressing, wound cover, pad size more than 16 square inches but less than or equal to 48 square inches, without adhesive boarder, each dressing (Item # 68293)

This decision will allow applicable customers to bill for TheraGauze™ using these codes, including the Medicare’s Part B program, private insurance plans and the various Medicaid programs. Medicare Part B provides coverage for ‘Surgical Dressings’ for patients at home between clinic or physician visits and when not receiving home health nursing services. It also provides wound dressings for residents in Nursing Homes not under a Medicare Part A ‘skilled care’ benefit stay who have Part B coverage. The Medicaid programs (one for each state) provide ‘Surgical Dressings’ for at home use by the beneficiary. Insurance plans often provide payment for wound dressings in addition to the coverage of care in a Nursing Home and for dressings used at home by the patient and in some cases when home heath services are provided.

According to Soluble Systems CEO, T. Kerry McCarter, “The decision by SADMERC to award these reimbursement codes will allow millions of patients to benefit from the wound healing attributes provided by TheraGauze™. Among these are elderly patients suffering from tough-to-heal chronic wounds, such as diabetic foot ulcers, where moisture without maceration, fewer bandage changes, and no pain with removal are important. We look forward to working with wound care practitioners across the United States to bring these benefits to their patients.”