1. C

    Pain Neurostimulators - Can you bill implants separate on commercial cases?

    Alright alright alright, So far we have only had Medicare neurostimlator cases (63650x2, 63685) and recently we've been asked if we could do a Cigna. Now here's my issue, are we able to bill implants separately with this commercial policy using the various HCPCS codes? The reason for my...
  2. S

    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

    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

    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

    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

    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...