LScoder2016
Networker
I have a provider that does the manual preparations involving mixing and preparing the antibiotics, etc, When I used the proper CPT code 20700-20705, insurance is denying it. The documentation is clear as to what the provider is doing, placing in subfascial, intra-articular. These codes are add-on codes, and are being used in conjunction with the correct CPT.
Example: patient has osteomyelitis in left ankle. i&d 28003 performed along with removal of sub fascial antibiotic beads, then Manual preparation and insertion of sub fascial antibiotic impregnated beads.
28003 and 20700 can be used together but is denied.
Patient comes back and a Secondary closure of surgical wound and removal of drug delivery device is removed.
13160 and 20701 is done but still gets denied.
If these aren't code is not being covered, can I use 11981 for drug-delivery implant? Or are they considered a component of the procedure performed? I know im missing a key factor with these codes.
Any insight would be great- thank you!
Example: patient has osteomyelitis in left ankle. i&d 28003 performed along with removal of sub fascial antibiotic beads, then Manual preparation and insertion of sub fascial antibiotic impregnated beads.
28003 and 20700 can be used together but is denied.
Patient comes back and a Secondary closure of surgical wound and removal of drug delivery device is removed.
13160 and 20701 is done but still gets denied.
If these aren't code is not being covered, can I use 11981 for drug-delivery implant? Or are they considered a component of the procedure performed? I know im missing a key factor with these codes.
Any insight would be great- thank you!