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Cardiac Intervention add-on codes 2013

M

MWatkins858

Expert
Messages
387
Location
Joshua Tree, CA
If the addition vessel add-on codes (92921,92925,92929,92934,92938,929440) have a $0 RVU value and they are bundled with the primary code, then why do we have them?

Why do we need to bill them out?

Thanks!!
 
Robbin109 said:
Is anyone billing this add-on codes out? Will other insurances, other than Medicare, pay for them?
Click to expand...

Time will tell if other payers will cover them.

However, the original purpose of CPT and ICD9 was not reimbursment, but statistical data collection. Even though payers (including Medicare) now use those codes to determine reimbursment, the original purpose still applies. This data eventually affects policy.

HTH :)
 
Now since, these add-on codes has no fee in mcr fee sched, how do we really bill the other commercial insurance if there is no fee sched? Please advise. I am also wondering how do i bill this out since its bundled and there is no use to send or bill them unless for tracking purposes but what price or amount should i follow.
 
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