• 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..

Billing/reimbursement of surgical trays

S

SCREWS

Contributor
Messages
24
Location
Mt Vernon, NY
Hi,

My pain management doctors sometimes use 2 trays for therapeutic spine injections when more than 1 level is injected or if performed bilaterally. What are the rules for billing trays (Epidural and myelogram). Are both reimbursed? Any advice or suggested references are welcomed.

Saundra
 
The Surgery Guidelines of CPT state: "Supplies and materials (eg. sterile trays/drugs), over and above those usually included with the procedure(s) rendered are reported separately."

The key here is "over and above" what would normally be required to perform that procedure. Based on what you have described, it does not appear that the use the of 2 trays for an additional level or bilateral injections is "over and above". If you would normally use one tray to perform the procedure for a single level or unilateral injection, then it makes sense that you would use two trays to perform the procedure on 2 levels or bilaterally.

Hope that helps!
 
You must log in or register to reply here.
Top