Hi,
My office is looking to start doing lidocaine infusions in the office. The set up fee is very costly, and the reimbursement for the 96365 and 96366 CPT codes averages around $140 for the 4 hour process. The manager is wondering if he can make this procedure a self pay only procedure and charge $500.
I feel that this is not allowed as these patients are insured and the procedure is otherwise covered by their policies (I have checked, it is covered) so I do not think that we are allowed to bill them as self pay and not utilize their insurance.
Does anyone have any info on this that I could present to demonstrate my point to them...........I assume that I am correct LOL.........please do let me know if I am wrong!
Thank you very much!
Kelly
My office is looking to start doing lidocaine infusions in the office. The set up fee is very costly, and the reimbursement for the 96365 and 96366 CPT codes averages around $140 for the 4 hour process. The manager is wondering if he can make this procedure a self pay only procedure and charge $500.
I feel that this is not allowed as these patients are insured and the procedure is otherwise covered by their policies (I have checked, it is covered) so I do not think that we are allowed to bill them as self pay and not utilize their insurance.
Does anyone have any info on this that I could present to demonstrate my point to them...........I assume that I am correct LOL.........please do let me know if I am wrong!
Thank you very much!
Kelly