mdetty64@gmail.com
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I have orthopedic surgeons collecting 300-500 dollars from Medicare and commercial payer patients for 20985 and 0054T because they are non-covered services per Medicare. In reading the descriptions of the codes they are not reimbursed as separate procedures but as add on codes to surgical codes so are not payable. Therefore I would say no, we can not make the patient pay for this is the payer designates the codes as such. I am new with the practice and want to make sure we are doing this by the book. Anyone have any experience with this? Thanks