SA91
Networker
Hi all!
I just want some clarification on this as I am still learning how these carriers calculate their reimbursement and how they reimburse the providers:
I have checked on CPT add-on 20930 and 20936 whether Florida Medicare Fee Schedule reimburses and found that no data comes up for these specific codes. Just to add this is specifically for an ASC facility which I checked on. I want to understand if this means that Florida does not reimburse these add-on codes? If so, why does Florida not reimburse them?
To add: We have received an EOR from a Worker's Comp Carrier in which they stated they use the Florida Fee Schedule. The allowed and paid add-on CPT 20936 but not 20930.
Any info would be appreciated to help me understand!
Thank you,
LR.
I just want some clarification on this as I am still learning how these carriers calculate their reimbursement and how they reimburse the providers:
I have checked on CPT add-on 20930 and 20936 whether Florida Medicare Fee Schedule reimburses and found that no data comes up for these specific codes. Just to add this is specifically for an ASC facility which I checked on. I want to understand if this means that Florida does not reimburse these add-on codes? If so, why does Florida not reimburse them?
To add: We have received an EOR from a Worker's Comp Carrier in which they stated they use the Florida Fee Schedule. The allowed and paid add-on CPT 20936 but not 20930.
Any info would be appreciated to help me understand!
Thank you,
LR.
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