Wiki Billing V2785 in an ASC

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tdesher

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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?
 
V2785

Hello,

When billing Medicare, we submit the claim electronically. We go into the electronic claim and type in the narrative field "donor invoice cost (insert cost)". We do not use dollar signs. With this on the claim, the code goes through and we receive payment. Every once in a while, it will deny for missing information, we then fax the invoice. We do about 120 of these a year. Hope this helps.

Thanks
Mary C. Meier B.S., CPC
Administrator
Eye Center of Columbus, LLC
262 Neil Ave Ste 500, Cols OH, 43215
 
Hello,

I am in an ASC as well. We are having difficulty getting paid with Aetna for the 65756 with V2785. Does anyone know what we should be billing for the endothelial tissue that is being implanted? and can we bill separately for it?

Thanks!
 
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