Wiki billing for corneal tissue in an ASC

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leren44

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Does anyone know if an ASC can bill insurance for corneal tissue (V2785) if the patient procedure was cancelled? We had a patient scheduled for a keratoplasty today and was cancelled due to no clearance from the PCP. We were billed $4200.00 from the eye bank.

Any assistance is appreciated :)
 
If the procedure was started and the tissue was handled but not sufficient to use/or if it had a defect, then you could bill for it. But it sounds as though your case cancelled and never even got to the O.R. and in this case you cannot bill it until the case occurs. Hopefully the patient will be rescheduled in a timely manner and you can still use it, or use it on another case where it is needed and then order a new one when the original case reschedules.
:cool:
 
V2785 in an ASC

I was hoping to get some feedback on billing for the tissue in an ASC. We are having issues with Medicare paying us separately for the V2785 code. We have tried billing electronically and then when we get denial we get the ICN and the invoice for the tissue and fax over the form from Medicare with the invoice. Then we have tried billing on paper from the beginning and sending the invoice with that but still not getting paid. Its in our contract that they will pay but for 2 years we have tried and tried and nothing. Am I missing something?
 
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