-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki ECT billing 90870
- Thread starter CODY09
- Start date
Amy Pritchett
Guru
The facility would bill the 90870 and the 94.27 (ICD-9-PX) code. The facility will be paid based upon the APC rate for the 90870 and not the code itself.
Hope this helps
Hope this helps
mitchellde
True Blue
Amy if this is outpatient the facility will not use the vol 3 code at all. CPT and Vol 3 ICD-9 codes are never used together. If it is outpatient it will be the CPT codes and if it is inpatient it will be the ICD-9 Vol 3. If I misread your post then I apologize.
Amy Pritchett
Guru
I was under the impression that this was in a hospital facility. You are correct. If he is in outpatient facility and coding for the physician performing they will only code the CPT code. However, if hospital facility they will code both the CPT and the ICD-9-PX. I was just giving them advice on both facility locations as I did not know which they were in
ect
I am questioning outpatient billing. The billing company said they have trouble getting paid for both when both the facility and physcian bill the same ect code. When I look at Medicares fee schedule it has a PC?TC indicator of zero which I thought is physician billing only so I am thinking the facility shouldnt be billing that code
I am questioning outpatient billing. The billing company said they have trouble getting paid for both when both the facility and physcian bill the same ect code. When I look at Medicares fee schedule it has a PC?TC indicator of zero which I thought is physician billing only so I am thinking the facility shouldnt be billing that code
kwaddles
New
Amy, I have an Arkansas Medicaid inpatient claim that is denying CPT 90870 which was billed with 99231/90792 on different dates of services spanning 3/6/14-3/21/14. Arkansas Medicaid is stating that we need to review the TOS and or lack of modifier billed. They stated that the claim will pay in a professional or technical location. Would you mind clarifying that please?I was under the impression that this was in a hospital facility. You are correct. If he is in outpatient facility and coding for the physician performing they will only code the CPT code. However, if hospital facility they will code both the CPT and the ICD-9-PX. I was just giving them advice on both facility locations as I did not know which they were in