We use 99070, some people use L8699. try to use specific codes if possible. in your example C1713 is ok for anchors but not for plates. If there is no specific code then use one of the misc codes.I am trying to determine which is the more appropriate code to use for implants in our ASC setting. We use anchors, screws, cannulas, drills and tubular plates
we use 99070 fos ASC as a misc supply code. Not every payer reimburses implants separatelly and the once who pays usually did not have any problems with it.I used to use A4649 but since most of my charges are for screws/anchors c1713 is more appropriate. I don't use 99070 because that specifically says "provided by physician" and I am billing for the facility not for the physician.
Well, you'll probably get a different answer from every coder...but as far as misc. supplies go and the A4649 code, I bill out supplies that are beyond the normal reimbursement. A good example would be the Novasure device used in GYN procedures. The reimbursement for the procedure doesnt cover the cost of the device [which can range over $1000.00]. This would be something you would work out in a contract with a carrier or just see if the carrier would reimburse for it. Of course medicare does not cover these supplies. The surgical trays are considered "integral to the surgical procedure"......BUT depending on how your workers comp and Auto claims pay, you might consider billing them out to them just to see if they reimburse for them. Good luck.Thank you! Do you ever use A4649 miscellaneous surgical supplies? For the trays or anything like that?
the link does not work, can you repost?The use of 99070 for our facility resulted in audits and refund requests. We bill high cost supplies with L8699 and revenue code 0279(other supplies/devices). With the use of accessories (needed to assist in the insertion of function of a device) we add the cost into the cost of the device/implant.
Orthopedic plates can be billed with C1713.Here is a link from the CMS: