KristieStokesCPC
Expert
Has anyone had any luck in getting Medicare to pay for breast implants after reconstructive surgery with a history of breast cancer? We are billing C8600. This is for an ASC.
Thanks in advance!
Thanks in advance!
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Wiki Breast implants for patients w/Cancer
- Thread starter KristieStokesCPC
- Start date
Kevinph84
Guest
For an ASC facilities and Hospital Outpatient, breast implants are considered paid for through the fee for the procedure. Most C and L HCPCS codes have a payment indicator of N1 (Packaged service/item; no separate payment made). I recommend taking a read of the Medicare Claims Processing Manual: Chapter 14. That is gear towards ASC facilities and helps explain the payment methodology and N1 payment indicator.
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