NESmith
Expert
Has anyone had any luck with getting these codes paid either by Medicare of Commerical?
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki 62264 & j3470/j3471
- Thread starter NESmith
- Start date
Walker22
Guest
BCBS of Georgia considers that procedure "experimental". I have posted a link to the policy below. Medicare used to have either an LCD or NCD that said the same thing, but I could not locate it.
http://www.bcbsga.com/medicalpolicies/policies/mp_pw_a050271.htm
http://www.bcbsga.com/medicalpolicies/policies/mp_pw_a050271.htm
Last edited:
hgolfos
Guru
Walker is right, MC does consider this procedure unproven; however, they have been paying our claims in spite of this. We don't file the J codes so I can't help you there.
Walker, for MC that info is included in the LCD for Epidurals.
Walker, for MC that info is included in the LCD for Epidurals.
Walker22
Guest
^^^ I knew I had seen it somewhere, but couldn't remember where. Thanks!
hgolfos
Guru
You're welcome.
BFAITHFUL
Expert
I also have been getting paid by Highmark Medicare for this code w/out any problems. we do not bill any J codes either
NESmith
Expert
Thank You for all of your responses. But, I have another question. Why do you not bill the J codes?
hgolfos
Guru
You only bill the J codes if you're provider is paying for/providing the drugs etc. All my providers operate in hospital run pain clinics so they only bill for their services.