• 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 the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Elbow OATS

Create Wiki
tiavrban

tiavrban

Contributor
Messages
21
Location
Bettendorf
Best answers
0
Hi all. I would like some input on the following scenario: my surgeon has a 15 yo patient that he wants to do an OATS of the elbow. Insurance will not cover as they consider it investigational. He wants me to bill the insurance for the surgery part (unlisted billed for this because there is not a CPT code) and bill the patient for the graft. I do not think we can do that do to our contract with the insurance company. Not only that, but I believe insurance will deny anyway, for investigational. Please share your thoughts so I can say I did my due diligence. My thought is that we either bill insurance and not get paid, or have patient be self pay and responsible for the whole surgery.

I look forward to any feedback.

Thanks,
 
You must log in or register to reply here.
Top