Corporate

May 17, 2013

Spiracur SNaP Wound Care System

CGS will reimburse SNaP effective for dates of service on and after January 1, 2013. SNaP is a process that combines a suction device with an advanced hydrocolloid wound dressing to deliver constant and controlled levels of negative pressure to facilitate the healing of the following types of open wounds:

  • Stage III and IV pressure ulcer
  • Neuropathic (diabetic) ulcer
  • Chronic (present for at least 30 days) ulcer of mixed etiology
  • Venous or arterial insufficiency ulcer
  • Complications of a surgically created wound
  • Traumatic wound

Providers should utilize all accepted wound care standards prior to using SNaP. Accepted wound care standards include, but are not limited to, the following:

  • Patient turning and positioning
  • Appropriate surface modalities to prevent pressure wounds
  • Appropriate management of moisture and incontinence
  • Consistent application of compression garments and/or bandages
  • Leg elevation and ambulation
  • Appropriate topical wound treatments
  • Appropriate necrotic tissue debridement
  • Nutritional status evaluation with appropriate intervention

You may submit an Evaluation & Management (E/M) service with SNaP only when a separately identifiable service is performed in addition to the negative pressure wound therapy. Supporting documentation is required in the patient's medical record. Submit these E/M services with CPT modifier 25. Please note that a simple check of the wound does not justify an additional E/M service and will be denied as not being medically necessary.

The patient medical records should contain:

  • Physician's signed order/intent to order the treatment
  • Documentation to substantiate standard protocols have been met
  • Wound description, including specific measurements and condition
  • Patient-specific treatment plan
  • Changes in patient status

HCPCS codes:

  • G0456 (Negative pressure wound therapy, (e.g. vacuum assisted drainage collection) using a mechanically-powered device, not durable medical equipment, including provision of cartridge and dressing(s) topical application(s) wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters) , or
  • G0457 (Negative pressure wound therapy, (e.g. vacuum assisted drainage collection) using a mechanically-powered device, not durable medical equipment, including provision of cartridge and dressing(s) topical application(s) wound assessment, and instructions for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters)
  • Enter 'Spiracur SNaP device' in the electronic documentation field (Loop 2400, NTE02, or SV101-7 field), or in item 19 if you are approved to submit paper claims. If an equivalent product is being used that meets the same specifications as the Spiracur SNaP Wound Care System, enter that product name in this location.

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