Go Back   AAPC Medical Coding & Billing Forums > Medical Coding > Outpatient Facilities
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 08-19-2010, 08:21 AM
codedog codedog is offline
True Blue
 
Join Date: Apr 2007
Location: NEW ORLEANS
Posts: 890
codedog is on a distinguished road
Default Implant code ?21390

Hello ASC coders ,

I think the ASC where I work at may have to eat this cost. First let me say this is a MEDICAID insurance.

Doc did A procedure of OPEN REDUCTION of RIGHT ORBITAL fRACTURE with ALLOPLASTIC IMPLANT . cpt code 21390 is the code. Now it states in THE CPT code book
WITH IMPLANT . So I code it as 21390 rt with dx code 802.6.
They also have an invoice attached to it stating how much for the implant -$1949.00
Again this is a MEDICAID ONLY
IS there A certain implant code I can use also. Idont think i can, maybe I am over looking something. I know Medicare ONLY PAYS 1721.88 ON THIS procedure , and correct me if I'am AM wrong, I dont see MEDICAID paying close to this amount.
ANY suggestions please .
and wHAT IF WAS blue cross -?
Reply With Quote
  #2  
Old 08-19-2010, 08:59 AM
ASC CODER ASC CODER is offline
True Blue
 
Join Date: Apr 2007
Posts: 570
ASC CODER is on a distinguished road
Default

L8610

It has a N1 indicator for Medicare.

OUCH!
__________________
LG CPC,CASCC
Reply With Quote
  #3  
Old 08-19-2010, 09:19 AM
codedog codedog is offline
True Blue
 
Join Date: Apr 2007
Location: NEW ORLEANS
Posts: 890
codedog is on a distinguished road
Default

WE also have one for BLUE Cross, no carve out,-WHAT a joke

SO Medicaid I will bill Just BILL CPT code 21390,
Blue cross I WILL bill 21390 with L8610(wHICH they probably wont pay ),What A LOSS
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off




Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 09:47 AM.

AAPC - Top

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright ©2014, AAPC