Skin Substitutes

On January 18, 2023, CMS held the virtual Skin Substitutes Town Hall. View a full recording  or transcript (PDF)  of the CMS Skin Substitutes Town Hall 2023.

During the Town Hall, CMS requested feedback from the public on specific questions related to changes in payment and terminology of skin substitute products under the Physician Fee Schedule (PFS). Interested parties had the opportunity to present and respond to the following questions:

1. What should we consider as part of CMS efforts to ensure consistent, fair, and appropriate payment for services and products across different settings of care?
2. How could we ensure that valuation under the PFS adequately accounts for variability in relative resource costs of different skin substitute products as supplies within the Practice Expense Relative Value Unit (PE RVU) methodology?
3. Are there similarly resourced groups of products/services that could inform how payment might be stratified without risking access to services?
4. What should we consider as alternatives regarding any potential changes to terminology?