rubybluemonkey
Guest
I have an unusual question I am hoping I can get some help with. I am new to Oregon and have never heard of ANY state plan with this policy.
We are trying to bill Oregon Medicaid for 32422 that we performed on a patient. They are stating that this code is a "Pack 9" code and that is is never covered. They state that any code that encompasses more than one service, in this case Thoracentesis w/ a tube insertion, is not covered by Oregon Medicaid. They want me to rebill with two seperate codes.
We don't do many of these and we did perform the radiological guidance as well and that was paid. My co-workers have not heard of this either....
First, does anyone know where I can find this rule/guideline?
Second, if I do have to recode what would you use?
Thanks for any help you can provide.
We are trying to bill Oregon Medicaid for 32422 that we performed on a patient. They are stating that this code is a "Pack 9" code and that is is never covered. They state that any code that encompasses more than one service, in this case Thoracentesis w/ a tube insertion, is not covered by Oregon Medicaid. They want me to rebill with two seperate codes.
We don't do many of these and we did perform the radiological guidance as well and that was paid. My co-workers have not heard of this either....
First, does anyone know where I can find this rule/guideline?
Second, if I do have to recode what would you use?
Thanks for any help you can provide.