69990 Edit
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#2
05-12-2009, 12:41 PM
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Refer to your CPT book for the list of CPT codes for which you cannot code 69990 separately. (Though, Medicare does not seem to follow this list and at times bundles 69990 with codes that are not on that list)
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Karen Maloney, CPC Data Quality Specialist 
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#3
05-12-2009, 03:00 PM
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Medicare guidelines.......
Effective January 1, 2000, the replacement code (CPT 69990) for modifier -20 - microsurgical techniques requiring the use of operating microscopes may be paid separately only when submitted with CPT codes: 61304 through 61546 61550 through 61711 62010 through 62100 63081 through 63308 63704 through 63710 64831 64834 through 64836 64840 through 64858 64861 through 64871 64885 through 64891 64905 through 64907.
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Rebecca CPC, CPMA, CEMC Your click COUNTS... http://www.thebreastcancersite.com/c...faces?siteId=2 CLICK to give FREE mammograms!
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#4
05-13-2009, 07:30 AM
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Thanks. Since it's for ASC billing, it would be for the equipment (microscope) use. Which Rev code would be appropriate? I am puzzled as if it should be reported with 490 or a diagnostic one. The facility is insisting on using with CPT codes in the 69000 series (e.g. 69436, 69631, 69633, 69635, 69643, 69645, 69662, and 69210) since it's not stated in CPT book that it can't be reported. HELP!
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