Exparel billing

deescrafty

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Has anyone had experience billing Exparel? Have you received reimbursement for this medication from any insurance or from MCR? Our facility is trialing this and supposedly some ASC's are being reimbursed, but no one locally that I can find. Thank you.
 

karismithx

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Saint Louis West
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Follow up

Just checking in to see if you've received any info on Exparel? I was just told we ordered some and will be using it at our ASC for a future case and I do not know how to bill for it.
Thanks
 

nsteinhauser

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The commercial payers I've contacted won't allow anything for it if it is used for post-operative analgesia...they say it's bundled into the facility fee for the surgery.
 

dianawink

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I billed it out with a 490 rev code ( Medicare did pay) but now looking maybe it should be 250 pharmacy
found this
What Is The Difference Between Revenue codes 250 And 253 When …
Revenue code 253 is to be used when dispensing drugs the patient is taking home
Revenue code 250 is to be used when billing for drugs used while the patient was in house
 
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