Corneal Transplants

elenax

Expert
Messages
330
Location
Stuart
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0
Yes...We get paid for the cornea transplant...we use CPT V2785...When we bill the claim we attach the invoice as well.
 
Messages
296
Location
Pensacola, FL
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I did that also.. My codes were 65756, 65870, 65865, and V2785.. all of which were denied for treatment has not been deemed 'proven to be effective' by the payer??
 

elenax

Expert
Messages
330
Location
Stuart
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If all of them were denied...I would do a Medicare Review...I get paid without denials for those codes that you billed...are you using the 59 modifier too?
 

Anastasia

Guru
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207
Location
READING PA
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In Pennsylvania Medicare has been paying for corneal transplants for years. However, Medicare has changed how they are submitted. They no longer require a copy of the invoice; this information is included when you bill electronically. Check with your electronic carrier on how to do this; I used Advantx and it was the addition of one line entry while entering the keratoplasty code. If you are not billing the way Medicare requires, it will deny. I hope this helps.
 
Messages
296
Location
Pensacola, FL
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0
Anastasia,

I use Advantx.. can you tell me what to use on the code to send it electronically (or email me..kstokes@timoniumsurg.com). Or is that something I need to call Medicare on?

Thanks
 

Anastasia

Guru
Messages
207
Location
READING PA
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0
Kristie
Don't call Medicare--they won't help. Call Advantx. After you enter the keratoplasty code you have to go to the additional info tab and add Medicare-specific wording on line 2 that includes the amount of the cornea. Advantx will definitely help. I'm sorry I don't have the exact wording to give you (I'm not at work right now) but Advantx gave it to me. Let me know how you make out.
 
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