Reimbursement & Coding Resources
Verification-first information for hospital teams evaluating Kerecis products.
Current guidance must be verified
Reimbursement rules, payment amounts, coverage policies, modifiers, and documentation requirements vary by payer, care setting, claim, and effective date. Sunspot Medical Group does not provide coding, billing, legal, or medical advice. Before submitting a claim, confirm the current requirements in official CMS materials, the applicable Medicare Administrative Contractor or payer policy, and with a qualified billing or compliance professional.
Kerecis product reference
Kerecis Omega3 Wound follows the FDA Premarket Approval (PMA) pathway. Its HCPCS product code is Q4158. These identifiers do not by themselves establish coverage, payment, medical necessity, or the correct way to submit a particular claim.
Sunspot distributes Kerecis only to hospitals. Hospital teams may contact us for current product documentation and manufacturer resources.
Hospital Kerecis InquirySources to check for a specific claim
- Current CMS manuals, fee schedules, and transmittals
- The applicable Medicare Administrative Contractor or commercial payer policy
- Current manufacturer labeling and coding resources
- Your hospital billing, compliance, and legal teams
Use the effective date and care setting shown in each source. Do not rely on archived rates or generalized examples for a live claim.