Question CPT 64595 edit for device code

abb

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Hi,

MCR is denying CPT 64595 for device-dependent procedure reported without device code. 64595 is Revision/removal of peripheral or gastric neurostimulator pulse generator or receiver. In this case, it was removed, no device was placed. I've been told by billing the device code can't be added with a $0 charge, so I am unsure what to do here. Anyone else run into this issue?

Thanks!
 

thomas7331

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I have come across this also and I believe it must be an error in the way the OPPS was set up for this code. Unfortunately I have not seen any official guidance on how this should be resolved and have not had any communications with billing departments as to how they were able to deal with it. I'm not sure why your billing department is saying you can't add the $0 charge though - you can bypass the edit with an unlisted device code, e.g. L8699. You may need to contact your Medicare contractor and escalate the issue. If you find out something more definitive though, I'd be interested in knowing what the resolution is.
 
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