The 2015 Medicare National Average Hospital Outpatient Payment associated with the application of TCC-EZ®, MedE-Kast® and MedE-Kast® Ultra is $223.20 (CPT® Procedure Code 29445), representing an increase of 61%, compared with the 2014 Medicare National Average Payment of $138.31. The increase in payment recognizes the appropriate value of applying the TCC-EZ® and the improved healing rates that result during the management of diabetic foot ulcers. The new payment rates should help remove barriers to utilization of this technology by clinicians. Our TCC-EZ® is the market leading total contact casting system and its ease of use has been the primary driver for increased adoption of total contact casting.
Relieving pressure on the foot through the use of "off-loading" improves healing outcomes and reduces complications in patients with diabetic foot ulcers (Diabetic Foot Ulcers), according to consensus guidelines published December 18th , 2014 in the Journal of the American Podiatric Medical Association. The projected lifetime health care cost for patients with Diabetic Foot Ulcers who undergo amputation is approximately $509,000.1 Use of total contact casting has been shown to be cost effective in the treatment of Diabetic Foot Ulcers. In a large retrospective study of data from the US Wound Registry, the average cost of Total Contact Casting treatment per patient was $11,946 versus $22,494 when Total Contact Casting was not used.2
The Consensus document is based on a literature review of approximately 90 studies conducted by the expert panel. One of the eight evidence-based consensus guidelines and core recommendations states:
Consensus Statement #4: Total Contact Casting is the preferred method for off-loading plantar Diabetic Foot Ulcers, as it has most consistently demonstrated the best healing outcomes and is a cost-effective treatment.
1. National Diabetes Data Group: Diabetes in America, Vol. 2. Bethesda, MD, National Institutes of Health 1995 (NIH publ. no. 95-1468).
2. Fife CE, Carter MJ, Walker D, et al. Diabetic foot ulcer off-loading: the gap between evidence and practice. Data from the US Wound Registry. Adv Skin Wound Care. 2014; 27(7):310-16.