Frequently Asked Questions
What KCI support surfaces are reimbursed by Medicare?
The following KCI support surfaces are Medicare reimbursable:
First Step Tricell® MRS – Medicare Coverage Code E0277
AtmosAir® 9000A MRS– Medicare Coverage Code E0277
AtmosAir® 9000AR MRS– Medicare Coverage Code E0277
InterCell® MRS– Medicare Coverage Code E0277
RIK® Overlay - Medicare Coverage Code E0371
RIK® MRS - Medicare Coverage Code E0373
What are the Medicare reimbursement amounts for KCI's Support Surfaces in my area?
Please download the attached Durable Medical Equipment, Prosthetics/Orthotics, and Supplies (DMEPOS) Fee Schedule issued by the Centers for Medicare & Medicaid Services (CMS). Locate the appropriate Medicare Coverage Code and state to find the corresponding reimbursement amount.
Durable Medical Equipment, Prosthetics/Orthotics, and Supplies (DMEPOS) Fee Schedule
Medicare requires a Statement of Ordering Physician, which has been completed, signed and dated by the treating physician and must be kept on file by the supplier and made available to the DMERC on request. The Statement of Ordering Physician may act as a substitute for a written order if it contains all of the required elements of an order.
Where can I locate a Statement of Ordering Physician?
Please the click the corresponding link to download a copy of Statement of Ordering Physician for Support Surfaces.
Where can I locate more information on the Medicare coverage policy for support surfaces?
For more detailed information on the Medicare coverage policy for support surfaces, please click the link listed below:
Medicare Coverage Information for Support Surfaces
What is the KCI policy related to modification of managed care/private insurance claims for KCI products and services?
KCI has established a policy related to modification of managed care/private insurance claims for KCI products and services. Please click Claims Modification Policy to see the policy.
This summary is not intended to be all-inclusive and should not be relied on for final coverage determinations. Specific DMERC, Medicaid or Health Plan coverage policies should be reviewed prior to making any coverage determinations. Additional criteria may be required for coverage of eligible patients depending on individual circumstances. The information contained in this website is provided for informational purposes only and represents no statement, promise or guarantee by KCI concerning the levels of reimbursement, payment, calculations, eligibility, charge or that these policies and codes will be appropriate for specific services or products provided or that reimbursement will be made. Information is current as of the date of publication and is subject to change at anytime. KCI recommends that you consult your local CMS contracted carrier, Medicaid carrier or other applicable payor organization with regard to specific reimbursement policies, coverage, documentation, payment and criteria. Individual circumstances and situations may vary.
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