I have a question on the proper way to reimburse multiple endoscopic procedures within the same endo base family. For example, the following codes are billed together: 29805 fee schedule $200.00, 29807 fee schedule $310.02, 29819 fee schedule $275.12, 29820 fee schedule $270.13. All codes have the same base procedure of 29805. Per Medicare special rules for endo codes with an indicator of '3' would the correct processing of the codes be as follows:
29807= $310.02, 29819= $75.12, 29820= $70.13. Total reimbursement for those 4 codes: $455.27.
And if another nonrelated endoscopy or surgery with an indicator of '2' was performed on the same day and had a higher allowable amount, would that total of $455.27 be used to apply MSR? So $455.27*50%= $227.65 would be the total allowed for the set of codes sharing base code 29805?
Thanks for the help!
29807= $310.02, 29819= $75.12, 29820= $70.13. Total reimbursement for those 4 codes: $455.27.
And if another nonrelated endoscopy or surgery with an indicator of '2' was performed on the same day and had a higher allowable amount, would that total of $455.27 be used to apply MSR? So $455.27*50%= $227.65 would be the total allowed for the set of codes sharing base code 29805?
Thanks for the help!