PURAPLY®AM PROVIDER REIMBURSEMENT SUPPORT

Organogenesis provides information on coding, coverage, and reimbursement in addition to other tools for PuraPly AM. Additional information is also available from the Centers for Medicare and Medicaid Services (CMS).

For answers to any questions regarding reimbursement, healthcare providers can reach out to the Organogenesis Reimbursement Hotline at 1-888-432-5232 (select option 3) or email us at reimbursement@organo.com.

Q CODE UPDATE

As a skin substitute with advanced technology, PuraPly AM is reimbursed in the high bundle by CMS. PuraPly AM and PuraPly are eligible for reimbursement for all sites of care. Effective January 1, 2019, each product now has its own Q code:

Q4196: PuraPly AM
Q4195: PuraPly

BENEFIT VERIFICATION AND PRIOR AUTHORIZATION PROGRAM

Once you have decided to use PuraPly or PuraPly AM, our team of Reimbursement Support Center Specialists will work closely with you through our benefit verification and prior authorization program. If needed, they are also available to perform a claims analysis and assist with appeals.

If you have any questions about reimbursement for PuraPly or PuraPly AM, you can send a written inquiry or call 1-888-432-5232 (select option 3) to talk with a reimbursement specialist.

READY TO TAKE CONTROL OF 
THE HEALING ENVIRONMENT?

Talk to an Organogenesis Tissue Regeneration Specialist about using PuraPly AM, the advanced antimicrobial barrier with native, cross-linked ECM + broad-spectrum PHMB.

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