• 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 the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Back bench preparation for transplant

Create Wiki
A

asrabian

Guest
Messages
4
Best answers
0
Hi everyone-

I am wondering if anyone has noticed that as of 2010, medicare has stopped paying for the 50325 (back bench prep) for organ transplation stating it's not medically necessary. I was just posting 2 payments and both patients had the code denied, but my transplants from 2009 all had the back bench paid. In fact, Medicare was one of the few paying the back bench prep.

Thank you!

Andi
RIH Division of Transplant Services
asrabian@usasurg.org
 
Hi Andi!

I code for transplant surgery & work on denials. I have not seen any backbench denials. (Of course, now that I say that we probably will! LOL)

I can tell you that we have been getting a lot of "medical necessity" denials from Medicare in general lately. I've found that once I mail a Medicare Redetermination Form with the Operative Report, they will pay.

I hope this helps!
 
stuart b.

I noticed yesterday when I checked the medicare fee schedule for backbench preparation for lung transplants that there were no fees listed for the cpt code.
 
You must log in or register to reply here.
Top