• 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 Help!!! Add on code 15777

Create Wiki
S

sheardmd

Guru
Messages
102
Best answers
0
I am having an argument with one of our ins payers right now about add-on codes. We use this code for our breast reconstructions and they are bilateral procedures. I thought that add-on codes were not subject to multiple procedure or 150% bilateral reductions. All of our payers pay these at 100% of allowable on both the right and left side even Medicare. The MPFS shows that this IS subject to the 150% bilateral reductions, but even our Medicare claims are paying at 100% for both sides. Please help me settle this argument one way or another.

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