Question Debridement 11045,11046,11047 multiple units

TAC105CPC

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Messages
2
Location
Bel Aire, KS
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Our office is having difficulty with the reimbursement of 11045,11046,11047 when the debridement is greater than 10 units. I've tried billing using units & multiple line items without success. Many of the debridements are very large non-healing wounds or ulcers. Any suggestions would be helpful.
 

dkissel

Guru
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101
Location
Flint, MI
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What payor are you billing? This makes a difference for me in how I bill. For Medicare I will bill the maximum allowable by MUE on one line then wait for the next claim run for the rest of the units (so it doesn't duplicate out.) Then I will submit a reconsideration after those units over MUE deny. I'd say about 90% of those debridements get paid that way as long as the procedure note supports the claim.
 

01503628

Contributor
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14
Location
Chennai, Tamil Nadu
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Hi All,

As I'm new to billing, please some one guide me with the maximum units to get paid for CPT 11046. I received the document support for 11046*40 units.
Any suggestions would be helpful.
 
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