NESmith
Guest
Has anyone had any luck with getting these codes paid either by Medicare of Commerical?
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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
Guest
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
Guest
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.