Wiki Denial for 27093 in the asc

[pochranek]

Medicare is denying CPT CODE 27093 (injection procedure for hip arthrography; without anesthesia. We used ICD 9 code 715.95.

They state 27093 is not on the ASC list of ceovered surgical procedures. My dilemma is I cannot locate a list of covered surgical procedures in the ASC.

Can anyone help me with a link please?

Thanks!!

 

[cleanclaims]

I am not at work and I don't have winzip on my home computer so I think this is it-try this link:
http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ASCPayment/ASC-Regulations-and-Notices-Items/CMS1253623.html

 

[dclark7]

Here's a link to the ASC payment list. scroll down to the bottom of the page and click on Addendum AA.... It take you to an excel spreadsheet listing covered procedures. http://www.cms.gov/Medicare/Medicar...Regulations-and-Notices-Items/CMS-1589-P.html

 

[Walker22]

Instead of 27093, use G0259.

 

[dclark7]

Both of these code 27093 and G0259 have payment indicators of N1 which means that neither one is billable in an ASC.

 

[Walker22]

Ms Clark is correct. My apologies.