Wiki Level II CPT Code for Quality Metrics

[rmooney1114]

Can anyone assist me with how to bill CPT level II codes our to payers in order to report quality metrics? These are codes that do not have RVU's or a fee attached to them, but can be reported to payers to report quality measures. Can they be billed on their own as stand alone, or do they need to be billed with another charge/or same day as another service? If anyone has experience with reporting/billing these, any help would be appreciated. Specifically looking for payers BCBSMA, Tufts, and Harvard Pilgrim. Thank you!

 

[dragonclawz70]

We were having issues with BCBS Medicare (VT Blue) denying 83036, when I called them I was told that we needed to submit the CPT level II code each time to get it paid. I just add the appropriate code to our charges like a regular CPT code and send it through.