marianne202
Contributor
All,
We are looking to start providing FMT and we are having discussions on the correct coding for these procedures. I'd love to find some contacts to discuss what procedure they using for the transplant and how they are coding it, as well as if they are being reimbursed. Our FI is Palmetto and they don't cover these and our commercial payers want the G code, but our providers have been told by other providers they can use the diagnostic colonoscopy code instead. The cost of the transplant product has increased significantly in the last few months since we started looking at this process, so proper reimbursement is important. If anyone is willing to share their journey and experience, it would be greatly appreciated. Just message me.
Thanks!
Marianne
We are looking to start providing FMT and we are having discussions on the correct coding for these procedures. I'd love to find some contacts to discuss what procedure they using for the transplant and how they are coding it, as well as if they are being reimbursed. Our FI is Palmetto and they don't cover these and our commercial payers want the G code, but our providers have been told by other providers they can use the diagnostic colonoscopy code instead. The cost of the transplant product has increased significantly in the last few months since we started looking at this process, so proper reimbursement is important. If anyone is willing to share their journey and experience, it would be greatly appreciated. Just message me.
Thanks!
Marianne