AthensCoder
Networker
- Messages
- 97
- Location
- Monroe, GA
I have billed a Lap Femoral Hernia repair to Humana (Medicare replacement plan) with CPT 49659 as there is no laproscopic code for a femoral hernia repair. They have denied it stating that unlisted codes are non covered by Medicare. I have gotten feedback on how it should be billed.
Feedback #1: 49550-22 and add 40% to charge amount
Feedback#2: 49550-52
How would you guys bill this. I said #2 because Medicare reimburses less for laproscopic hernia repairs, even though it is more work.
Any comments/opinions would be greatly appreciated.
Feedback #1: 49550-22 and add 40% to charge amount
Feedback#2: 49550-52
How would you guys bill this. I said #2 because Medicare reimburses less for laproscopic hernia repairs, even though it is more work.
Any comments/opinions would be greatly appreciated.