Wiki 99100 70 or 71?

[amyce2693]

Has anyone received payment for 99100 for a 70 year old patient or does the patient have to be 71? "Older than 70" can technically mean 70+1 day. I understand Medicare does not pay for this, but do other insurances pay if only "70"? please help!

 

[cmiranda]

I say query the payer, we know Medicare is not going to pay if patient is 70+ at time of service but some commercial payers may have other policies. Communicate with your insurance carriers, things may have changed since last time.

 

[amyce2693]

I am w/a 3rd party coding company so I don't handle anything w/AR. Didn't think this would be so hard to find the answer!

 

[CodingKing]

My understanding is the once you hit 70th birthday you qualify for this code.

 

[amyce2693]

thank you!

 

[Leatta]

According to members of the American Society of Anesthesiologist Committee on Economics (COE) 99100 applies to patients that are greater than 70 years and one day on the date of the procedure.

https://www.aapc.com/discuss/threads/anesthesia-qualifying-circumstance-codes.125863/