June 24, 2009
Healthcare Common Procedure Coding System; HCPCS Code Q4115 (Skin substitute, alloskin, per square centimeter)
The Centers for Medicare & Medicaid Services (CMS) has identified a claims processing error that incorrectly assigned HCPCS Code Q4115 (Skin substitute, alloskin, per square centimeter) effective July 1, 2009, a Status Indicator (SI)=K in the July Integrated Outpatient Code Editor (IOCE). The proper SI for this code should be SI=M. Until the SI for Q4115 is retroactively corrected in the October 2009 IOCE Release, contractors will Return to Provider lines billed with Q4115 with Edit W7072 (service not billable to the FI/MAC). We regret any inconvenience you have experienced related to this problem.
