INVOICE REQUIREDFDA 510(K) CLEARED

Omeza® OCM™

Omega fatty-acid matrix for refractory wounds

Omega-fatty-acid-based collagen matrix indicated for refractory wounds that have failed first-line therapy. Each vial covers 16 billing units.

HCPCSA2014

Billing units16 units per vial

Invoice price$2,050.00 per vial

Omega fatty acid + collagen matrix

1 vial = 16 billing units

Indicated for refractory wounds

Reimbursement

Per-vial invoice$2,050.00 (place in CMS-1500 Box 19)

BillingMost MACs require an invoice with the claim

CMS DISCLOSURE: REIMBURSEMENT IS NOT GUARANTEED. PROVIDERS ARE RESPONSIBLE FOR VERIFYING SPECIFIC MAC POLICIES.

Box 19 invoice required: most MACs require the $2,050 invoice attached to the claim. Failure to include the invoice will result in claim rejection.