1. J

    Wiki Coding/Billing for implants HCPCS

    Recently took over billing for implants for ASC Ortho. They were submitting all implants under L8699 and a lot are getting denied. Should they be submitted with more specific C codes per each supply instead of the L8699? Ex: Guidewire is C1769
  2. S

    Wiki PLEASE HELP coder of Family Practice trying to code for Plastic Surgery.

    Please help I have a pt. that paid cash and want reimbursed from their ins. I code family practice an our Dr. said we would help her with this. If someone can email me and help me one on one I would greatly appreciate it. Pt. also had a left breast implant rupture and had implant exchange to...
  3. B

    Wiki Nasal/sinus endoscopy implant

    1. Nasal/sinus endoscopy performed. Propel intersect(dis solvable implant to dispense mometasone furoate) was used on rt and lt. What code is used for implant, is it s1090??? 2. Do we code for posisep (nasal splint) or it included in procedure. If we code separately, what code to use, is it...
  4. M

    Wiki CPT for malposition of implant on (left) contralateral breast of Rt breast recon

    I'm stumped on what cpt code to use since the breast is not the reconstructed breast. it's the contralateral breast (left) that Dr is wanting to basically tighten implant position. We're wanting to get pre determination through insurance and I'm needing a code. Any suggestions? is a 45...
  5. T

    Wiki Need some help, please.

    broken implant / new surgery Any suggestions on how this should be billed? The doctor insists that this current procedure should be billed as 28675. But, I'm not convinced. Our department thinks this should be billed as an unlisted 28899. Any thoughts? he removed an old broken implant and...
  6. D

    Wiki Implant billing

    My ASC has always had trouble getting paid for implants.. One problem I am faced with is that it is my understanding Medicare's definition of an implant is a device that replaces a body part. ex- prosthetic hip /knee .... Our payer contracts include the "words" implant reimbursement at a...